Search

Objective--To investigate the prevalence of Mycobacterium tuberculosis DNA in granulomatous tissues from patients with sarcoidosis and from controls matched for age, sex, and tissue by using the polymerase chain reaction. [...]

Pulmonary and associated peritoneal sarcoidosis is a rare presentation. A 49-year-old man presented with persistent cough and exertional dyspnoea. Following radiological and pathological investigations he was diagnosed with pulmonary fibrosis related to previous dust exposure in the textile industry. Histology was reported to show chronic inflammation, fibrosis, and foreign body giant cells, but no granulomas. Two years later white spots were seen on the peritoneal surface during a routine right inguinal hernia repair. These were biopsied and showed a few neat well-defined granulomata. He continued to complain of breathlessness, and was referred back to the respiratory physicians. Further investigation revealed bilateral ground glass shadowing on HRCT, and re-examination of the original transbronchial biopsy revealed further findings consistent with a diagnosis of sarcoidosis. The patient was started on oral prednisolone to good effect. This case illustrates the importance of reviewing the patient history and investigations to diagnose patients with persistent symptomatology. Keywords: sarcoidosis | peritoneal | pulmonary | granuloma, Case Report In 2004, a 49-year-old male was referred by the ENT surgeons with persistent cough. He gave a 9-month history of cough, mainly dry in nature, but occasionally productive [...]

We dance around in a ring and suppose, But the Secret sits in the middle and knows 'Secret Sits' ROBERT FROST DURING THE LAST QUARTER of the 19th century, Jonathan [...]