A Case of Sarcoidosis with Unusual Radiographic Findings that Developed 5 Years after Silicone Augmentation Mammoplasty Complicated by Miliary Tuberculosis during Corticosteroid Treatment

A 54-year-old woman with a past history of silicone augmentation mammoplasty was admitted with fever and dyspnea with diffuse interstitial shadows on computed tomography (CT). Although radiological findings were atypical, we diagnosed sarcoidosis by laboratory, microbiological, and bronchoalveolar l...

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Main Authors: Tomoko Miyashita, Katsunobu Yoshioka, Tomoyuki Nakamura, Keiko Yamagami
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Pulmonology
Online Access:http://dx.doi.org/10.1155/2011/268620
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author Tomoko Miyashita
Katsunobu Yoshioka
Tomoyuki Nakamura
Keiko Yamagami
author_facet Tomoko Miyashita
Katsunobu Yoshioka
Tomoyuki Nakamura
Keiko Yamagami
author_sort Tomoko Miyashita
collection DOAJ
description A 54-year-old woman with a past history of silicone augmentation mammoplasty was admitted with fever and dyspnea with diffuse interstitial shadows on computed tomography (CT). Although radiological findings were atypical, we diagnosed sarcoidosis by laboratory, microbiological, and bronchoalveolar lavage fluid analysis. Corticosteroids ameliorated the condition, but she had recurrent of fever and CT revealed miliary nodules while interstitial shadows disappeared. Liver biopsy showed that noncaseating granuloma and Ziehl-Neelsen stain was positive. We diagnosed miliary tuberculosis which developed during corticosteroid therapy. Antituberculotic therapy resulted in favorable outcome. Possibility exists that onset of sarcoidosis was induced by mammoplasty, namely, human adjuvant disease.
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spelling doaj-art-176d1a4f29564dcd85d6ebb6ee00aa162025-08-20T02:04:53ZengWileyCase Reports in Pulmonology2090-68462090-68542011-01-01201110.1155/2011/268620268620A Case of Sarcoidosis with Unusual Radiographic Findings that Developed 5 Years after Silicone Augmentation Mammoplasty Complicated by Miliary Tuberculosis during Corticosteroid TreatmentTomoko Miyashita0Katsunobu Yoshioka1Tomoyuki Nakamura2Keiko Yamagami3Department of Internal Medicine, Osaka City General Hospital, Osaka 534-0021, JapanDepartment of Internal Medicine, Osaka City Sumiyoshi Hospital, Osaka 559-0012, JapanDepartment of Internal Medicine, Osaka City General Hospital, Osaka 534-0021, JapanDepartment of Internal Medicine, Osaka City General Hospital, Osaka 534-0021, JapanA 54-year-old woman with a past history of silicone augmentation mammoplasty was admitted with fever and dyspnea with diffuse interstitial shadows on computed tomography (CT). Although radiological findings were atypical, we diagnosed sarcoidosis by laboratory, microbiological, and bronchoalveolar lavage fluid analysis. Corticosteroids ameliorated the condition, but she had recurrent of fever and CT revealed miliary nodules while interstitial shadows disappeared. Liver biopsy showed that noncaseating granuloma and Ziehl-Neelsen stain was positive. We diagnosed miliary tuberculosis which developed during corticosteroid therapy. Antituberculotic therapy resulted in favorable outcome. Possibility exists that onset of sarcoidosis was induced by mammoplasty, namely, human adjuvant disease.http://dx.doi.org/10.1155/2011/268620
spellingShingle Tomoko Miyashita
Katsunobu Yoshioka
Tomoyuki Nakamura
Keiko Yamagami
A Case of Sarcoidosis with Unusual Radiographic Findings that Developed 5 Years after Silicone Augmentation Mammoplasty Complicated by Miliary Tuberculosis during Corticosteroid Treatment
Case Reports in Pulmonology
title A Case of Sarcoidosis with Unusual Radiographic Findings that Developed 5 Years after Silicone Augmentation Mammoplasty Complicated by Miliary Tuberculosis during Corticosteroid Treatment
title_full A Case of Sarcoidosis with Unusual Radiographic Findings that Developed 5 Years after Silicone Augmentation Mammoplasty Complicated by Miliary Tuberculosis during Corticosteroid Treatment
title_fullStr A Case of Sarcoidosis with Unusual Radiographic Findings that Developed 5 Years after Silicone Augmentation Mammoplasty Complicated by Miliary Tuberculosis during Corticosteroid Treatment
title_full_unstemmed A Case of Sarcoidosis with Unusual Radiographic Findings that Developed 5 Years after Silicone Augmentation Mammoplasty Complicated by Miliary Tuberculosis during Corticosteroid Treatment
title_short A Case of Sarcoidosis with Unusual Radiographic Findings that Developed 5 Years after Silicone Augmentation Mammoplasty Complicated by Miliary Tuberculosis during Corticosteroid Treatment
title_sort case of sarcoidosis with unusual radiographic findings that developed 5 years after silicone augmentation mammoplasty complicated by miliary tuberculosis during corticosteroid treatment
url http://dx.doi.org/10.1155/2011/268620
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