A 66-yr-old woman with dyspnea and weight loss previous healthy. 9 months ago: 건강검진 받음. 별다른 이상소견 없었음. 7 months ago: dyspea(DOE, ATS I), weight loss(5~6kg/6mon)

Slides:



Advertisements
Similar presentations
TB Diagnostics Chest X-Ray Hello
Advertisements

Nodules and infiltrates
Tuberculous adenopathies
1 What is this opacity: A:Pulmonary vessel B: Bronchus
TUBERCULOUS PNEUMONIA
These are actual cases to –Stimulate your reading –Test your knowledge of the material Look for the sound icon (often in the upper right hand corner.
Pracical Aproach to Interstitial Lung Diseases
Preliminary materials Practical Cytological and Histological Approach to Lymphoid Lesions Workshop 8, 55 th annual meeting Canadian Association of Pathologists.
M. BANI, K. BOUZAIDI, F. SNENE, I. KECHAOU, F. JABNOUN Radiology service, MT Maamouri hospital, Nabeul, Tunisia Pan Arab Association of Radiological societies.
Testicular Sarcoid Case presentation Dr. Kirsty Cattle, Mr. S. Datta University Hospital of Wales.
A 47-year-old woman with DOE Prev.healthy 7 개월 전부터 alopecia 발생, DOE 발생 (GrII), 6 개월 전 skin lesion (both elbow area 에 rash) 발생. local 의원 내원하여 topical stroid.
JK Amorosa. Sarcoidosis, where does the name come from?  Sarc: flesh  Oid : like  Flesh-like  Besnier-Boeck-Schauman Disease.
Skin Lesion Excision Audit August 2013 – December 2013.
Clinical Cases.
Sarcoidosis morning report Alisa Alker.
A 53-yr-old man with dyspnea (ATS Gr.IV) onset 2 개월 전, recent agg. 10 일 전  Ex-smoker (1.5pack x 20yr, 13 년 전 부터 금연 )  사무직  2 개월 전 dry cough develop.
A 44-yr-old man with dyspnea (ATS Gr II) Ex smoker 1 * 24 pack years, 1 년전 quit 1 년전부터 dyspnea 발생 당시 PFT : no abnormality 8 개월 전 모 대학병원에서 시행한 건강검진상 이상소견.
 Pulmonary Tuberculosis BY: MOHAMED HUSSEIN. Cause  Caused by Mycobacterium tuberculosis (M. tuberculosis)  Gram (+) rod (bacilli). Acid-fast  Pulmonary.
Clinical Pathological Conference May 11, CHIEF COMPLAINT: 51 year old female with abdominal bloating, twenty pound weight loss, and fatigue for.
MedPix Medical Image Database COW - Case of the Week Case Contributor: Paul J Cunningham Affiliation: Madigan Army Medical Center.
Unit 9 Diagnosis and Treatment of Paediatric TB: B Family Case Botswana National Tuberculosis Programme Manual Training for Medical Officers.
6/17/08. Brad Weaver Sarcoidosis Multisystem & heterogeneous disease of unknown etiology characterized by noncaseating granulomas Three to four times.
A 80-yr-old man with watery sputum 30YA DM Dx. medication 중 1YA BPH Dx. local clinic 에 3 개월 medication 하다가 07.3 월 본원 URO OPD visit, tamsolucin 복용 중 10YA.
Gynecology 성균관대학교 의과대학 손의영
Tension hydropneumothorax Air fluid level at right costophrenic angle Deeper right costophrenic angle as compared to the left Contralateral shift of mediastinum.
Pulmonary TB aspects Etienne Leroy Terquem – Pierre L’Her SPI / ISP Soutien Pneumologique International / International Support for Pulmonology Nodule.
The silhouette sign (Felson) And its derivatives Etienne Leroy Terquem – Pierre L’Her SPI / ISP S outien P neumologique International / I nternational.
History : 24-yr-old woman with chest pain, asthenia and night sweats. She has flown back from Brasilia to France 3 weeks ago. Case of the Month 5 November.
10년간 경험한 흥미로운 폐암 증례 숨이편한 내과 호흡기 내과 전문의 이 은우.
Case of the Month 6 December 2015
Etienne Leroy Terquem – Pierre L’Her SPI / ISP Soutien Pneumologique International / International Support for Pulmonology Tuberculous Miliary.
Gynecology 성균관대학교 의과대학 손의영. Chief Complain 정 O 록, F/76 외부 건강 검진상 발견된 이상소견 Onset : 1MA.
MGR Division of pulmonary and critical care medicine Department of Internal Medicine, Kyung Hee University College of Medicine R1 김은영.
Chronic Interstitial (Restrictive, Infiltrative) Lung Diseases
Chief Complaint Laterally spreading tumor c diverticulum, S-colon Present Illness 45/M, 타병원에서 건강검진으로 시행한 위, 대장 내시경 상 colon 의 Laterally spreading tumor.
Pathological lymph nodes:
Hallym University Sacred Heart Hospital 한림대학교 성심병원 소화기내과 김 유 진 위암 치료를 위해 내원한 60 세 남자 제 83 회 내시경 집담회.
History: 58 year-old male with 6 months of progressive breathlessness Case of the Month 10 April 2016.
Sarcoidosis.
Sarcoidosis. SARCOIDOSIS  Definition: Idiopathic systemic disorder characterized by accumulation of lymphocytes and monocytes in many organs forming.
Disseminated Cryptococcus neoformans infection and Crohn's disease in an immunocompetent patient  Guido Sciaudone, Gianluca Pellino, Ilaria Guadagni,
Seyhan I. Celikoglu, M.D., Louis Siltzbach, M.D., F.C.C.P. 
Volume 99, Issue 4, Pages (April 1991)
How to read CXR continued
Chronic sarcoidosis. (A) Axial chest CT in lung windows demonstrates bilateral central upper lobe scarring (white arrows) with mild traction bronchiectasis.
A Rare Case of Sarcoidosis with Bilateral Leg Edema as an Initial Presentation Yanli Fan, M.D.
Interferon alfa–induced sarcoidosis resolving without drug withdrawal
Hiren J. Mehta, MD, Tan-Lucien Mohammed, MD, Michael A. Jantz, MD 
Afatinib-Induced Severe Interstitial Lung Disease Successfully Treated with High-Dose Corticosteroid Therapy: A Case Report  Kazutaka Fujita, MD, Yuko.
Sarcoid-Like Reaction Mimics Progression of Disease After Induction Chemotherapy for Lung Cancer  Masayuki Chida, MD, PhD, Takashi Inoue, MD, Koichi Honma,
Bilateral epididymal sarcoidosis
Volume 138, Issue 6, Pages (December 2010)
Scrotal Swelling and Sarcoidosis
Sarcoidosis: The Nephrologist’s Perspective
Atypical Pleuropulmonary Tuberculosis Mimicking a Malignant Disease
Ara Chrissian, MD, David Misselhorn, RRT, Alexander Chen, MD 
Fig. 8. Indeterminate lymph nodes. A, B
Interferon alfa–induced sarcoidosis resolving without drug withdrawal
An Unusual Case of Postpartum Dyspnea
Renal Cell Carcinoma Lung Metastases Surgery: Pathologic Findings and Prognostic Factors  Jalal Assouad, MD, Boriana Petkova, MD, Pascal Berna, MD, Antoine.
Pirfenidone-Induced Sarcoid-Like Reaction
8월 흉영 집담회 증례 발표 서울대병원 - F. 유노을 -
Pulmonary Sarcoidosis: Diagnosis and Treatment
A) Positron emission tomography scan showing 18F-fluorodeoxyglucose uptake in the right supraclavicular, hilar and mediastinal lymph nodes and in the left.

Figure FDG-PET, lymph node biopsy, and brain MRI
An Unusual Case of Postpartum Dyspnea
A computed tomographic scan of the chest shows diffuse bilateral patchy pulmonary infiltrates predominant in the peripheries, with surrounding ground-glass.
A) Chest CT showing a lobulated necrotic mass in left hilar region with foci of calcifications and spiculated ­margins at the time of diagnosis. b) PET-CT.
A Young Woman With a Rapidly Growing Thoracic Tumor
Presentation transcript:

A 66-yr-old woman with dyspnea and weight loss previous healthy. 9 months ago: 건강검진 받음. 별다른 이상소견 없었음. 7 months ago: dyspea(DOE, ATS I), weight loss(5~6kg/6mon) 발생하여 local 방문하여 감기라고 진 단받고 1 주 정도 medication 받음. 이후 호전 없었음. 3 개월 전 : local 방문하여 CXR, CT 시행하고 이상소견 있 으니 큰 병원 방문하라는 권유 듣고 refer 됨. 본원 IM3 OPD 방문함. r/o LCA, r/o pul. TB imp. 하에 anti- TB medicaiton 시험적으로 시도함. INH, RFP4, EMB, B6, PZA5, PANC 21 일 복용한 후 W/U 위해 입원함.

Mild prominent of right hilum and increased interstitial marking

Bilateral homogeneous lymph node enlargement in superior mediastinal, hilar, and subcarinal area Bronchovascular bundle thickening in RUL

Bronchoscopic biopsy Bronchial mucosa Submucosal non-caseating granuloma

Submucosal non-caseating granuloma, suggestive sarcoidosis

Feedback: Privacy Policy Feedback
Do Not Sell My Personal Information
About project: SlidePlayer Terms of Service

© 2025 SlidePlayer.com. Inc. All rights reserved.