Sarcoidosis Presenting with Concurrent Pericardial and Pleural Effusion-A Case Report

類肉瘤同時合併心包膜及肋膜積水－病歷報告

邱榮德(Jung-Te Chiu) ； 許正園(Jeng-Yuan Hsu) ； 陳焜結(Kun-Chieh Chen)

《胸腔醫學》 29卷2期 (2014/04) Pp. 77-84

摘要

類肉瘤為影響多重系統的結節性疾病，包含肺部（90%）、皮膚、眼睛、淋巴結、脾臟、肝臟、心臟、中樞神經系統、腎臟…等。類肉瘤好發於40歲以下成人，且好犯女性。類肉瘤的診斷建立於臨床症狀與影像學，配合病理切片診斷，最重要的是要排除其他疾病，如結核、黴菌、惡性腫瘤…等。然而，類肉瘤合併心包膜及肋膜積水的案例非常少見。我們報告一位57歲女性病人，診斷為類肉瘤合併心包膜及肋膜積水，且經有四個月的類固醇治療後有顯著的反應。

關鍵字

類肉瘤 ； 心包膜積水 ； 肋膜積水

並列摘要

Sarcoidosis is a granulomatous disorder with multisystem involvement, including the lungs (90%), skin, eyes, lymph nodes, spleen, liver, heart, central nervous system, and kidneys, and with a predilection for adults younger than 40 years. Sarcoidosis affects females more than males. Diagnosis of sarcoidosis is made by clinico-radiologic and histopathologic findings of non-caseating granuloma, as well as exclusion of other granulomatous diseases, such as tuberculosis, fungus, and malignancy. However, the incidence of sarcoidosis with concurrent pericardial and pleural effusion is extremely low. Herein, we present the case of a 57-year-old female patient with concomitant pericardial and pleural effusion with a good response to prednisolone for 4 months.

並列關鍵字

sarcoidosis ； pleural effusion ； pericardial effusion