Clinical analysis of pulmonary sarcoidosis with pleural effusion
WANG Cai-cai
TIAN Guang
XU Hong-xia
JIANG Yi
HUANG Yan
LU Cong-zhe
DUAN Yun-you
Abstract：Objective To analyze the diagnosis and treatment of pulmonary sarcoidosis with pleural effusion.Methods All 13 cases with pulmonary sarcoidosis with pleural effusion of in our hospital during the period of Jan.2000 to July 2012 were analyzed.Results There were 3 cases in stage Ⅰ,9 cases in stage Ⅱ and 1 case in stage Ⅲ.Among them 8 cases were misdiagnosed as tuberculous pleurisy and 2 patients were misdiagnosed as lung cancer.All 13 cases were taken orally by prednisone acetate tablets 0.5-1.0 mg/(kg · d),and the dose was gradually reduced.After treatment for one month,pleural effusion of 5 cases disappeared,pleural effusion of 4 cases was significantly reduced; pleural effusion of 13 patients disappeared after 3 months; 3 cases had thickening pleura.Condusions The mechanism of pulmonary sarcoidosis with pleural effusion is unknown.Patients of sarcoidosis with pleural effusion need hormone therapy when they have symptoms.Sarcoidosis with pleural effusion is easily misdiagnosed.Image and laboratory examination combined with clinical can improve the diagnostic and reduce the misdiagnosis rate.
Keywords：SarcoidosisPleural effusionHormone
Publication Date：2013-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：2( 620-621 )