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El Jazouly M, Chahboun F, Kelati A, El Omari M, Al Bouzidi A, Chiheb S. [Scar sarcoidosis: a usually progressive disease (about a case)]. Pan Afr Med J 2021; 39:268. [PMID: 34707769 PMCID: PMC8520421 DOI: 10.11604/pamj.2021.39.268.27864] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2021] [Accepted: 08/02/2021] [Indexed: 11/11/2022] Open
Abstract
The sarcoidosis is a systemic granulomatous disease. It is usually characterized by skin manifestations which may be suggestive of progressive sarcoidosis with visceral involvement. We here report a case of pulmonary sarcoidosis revealed by the reactivation of an old cutaneous scar following a trauma occurred 20 years earlier. Radiological assessment showed mediastino-pulmonary sarcoidosis stage 2. The diagnosis of sarcoidosis should be suspected in patients with any recent scar modification in order to establish early management.
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Affiliation(s)
- Madiha El Jazouly
- Service de Dermatologie, Hôpital Cheikh Khalifa Ibn Zaid, Université Mohammed VI des Sciences de la Santé de Casablanca, Casablanca, Maroc
| | - Fatimzahra Chahboun
- Service de Dermatologie, Hôpital Cheikh Khalifa Ibn Zaid, Université Mohammed VI des Sciences de la Santé de Casablanca, Casablanca, Maroc
| | - Awatef Kelati
- Service de Dermatologie, Hôpital Cheikh Khalifa Ibn Zaid, Université Mohammed VI des Sciences de la Santé de Casablanca, Casablanca, Maroc
| | - Mounia El Omari
- Service de Chirurgie Plastique, Hôpital Cheikh Khalifa Ibn Zaid, Université Mohammed VI des Sciences de la Santé de Casablanca, Casablanca, Maroc
| | - Abderahman Al Bouzidi
- Service d´Anatomopathologie, Hôpital Cheikh Khalifa Ibn Zaid, Université Mohammed VI des Sciences de la Santé de Casablanca, Casablanca, Maroc
| | - Soumiya Chiheb
- Service de Dermatologie, Hôpital Cheikh Khalifa Ibn Zaid, Université Mohammed VI des Sciences de la Santé de Casablanca, Casablanca, Maroc
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Zarogoulidis P, Hatzibougias D, Tsakiridis K, Matthaios D, Hohenforst-Schmidt W, Huang H, Bai C, Tryfon S, Saroglou M, Zaric B, Boujkovinas I, Karapantzou C. Lymphadenopathy and granulomas: benignancy of malignancy and differential diagnosis with endobronchial ultrasound-transbronchial needle biopsy 19G needle fine-needle aspiration biopsy. Lung Cancer Manag 2021; 10:LMT49. [PMID: 34408790 PMCID: PMC8369527 DOI: 10.2217/lmt-2021-0002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2021] [Accepted: 04/29/2021] [Indexed: 01/17/2023] Open
Abstract
Endobronchial ultrasound (EBUS) is a very useful tool for the diagnosis of lymphadenopathy of the mediastinum. Nowadays, EBUS can substitute video-assisted thoracic surgery when a 19G needle is used. Several studies have provided data for efficient diagnosis not only for lung cancer, but for also sarcoidosis, tuberculosis and lymphoma. We present five cases of EBUS-transbronchial needle biopsy 19G needle used for the diagnosis of mediastinum lymphadenopathy. We present not only the pathological diagnosis, but also the steps for the differential clinical and pathological differential diagnosis for sarcoidosis, tuberculosis, cancer metastasis, respiratory infection and lymphoma.
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Affiliation(s)
- Paul Zarogoulidis
- 3 University Surgery Department, AHEPA University General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.,Pulmonary Department, 'Bioclinic' Private Clinic, Thessaloniki, Greece
| | | | - Kosmas Tsakiridis
- Thoracic Surgery Department, 'Interbalkan' European Medical Center, Thessaloniki, Greece
| | | | - Wolfgang Hohenforst-Schmidt
- Department of Cardiology/Pulmonology/Intensive Care/Nephrology, Sana Clinic Group Franken, 'Hof' Clinics, University of Erlangen, Hof, Germany
| | - Haidong Huang
- Department of Respiratory & Critical Care Medicine, Changhai Hospital, The Second Military Medical University, Shanghai, PR China
| | - Chong Bai
- Department of Respiratory & Critical Care Medicine, Changhai Hospital, The Second Military Medical University, Shanghai, PR China
| | - Stavros Tryfon
- Pulmonary Department (NHS), 'G Papanikolaou' General Hospital, Thessaloniki, Greece
| | - Maria Saroglou
- Pulmonary Department (NHS), 'G Papanikolaou' General Hospital, Thessaloniki, Greece
| | - Bojan Zaric
- Faculty of Medicine, University of Novi Sad, Institute for Pulmonary Diseases of Vojvodina, Novi Sad, Serbia
| | | | - Chrisanthi Karapantzou
- Ear, Nose & Throat (ENT) Department, Ludwig-Maximilians University of Munich, Munich, Germany
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