Necrotizing Sarcoid Granulomatosis with Pneumothorax

Necrotizing sarcoid granulomatosis (NSG) is a rare granulomatous pneumonitis which is composed of a background of sarcoidosis-like granulomas, granulomatous vasculitis, and variable amount of necrosis. We reported a case of a 38-year-old nonsmoking woman presented with left-sided chest pain and dysp...

Full description

Saved in:
Bibliographic Details
Main Authors: Mihan Pourabdollah, Seyed Reza Saghebi, Mitra Abdolahi, Mitra Sadat Rezaei
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2019/4648720
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849413373192568832
author Mihan Pourabdollah
Seyed Reza Saghebi
Mitra Abdolahi
Mitra Sadat Rezaei
author_facet Mihan Pourabdollah
Seyed Reza Saghebi
Mitra Abdolahi
Mitra Sadat Rezaei
author_sort Mihan Pourabdollah
collection DOAJ
description Necrotizing sarcoid granulomatosis (NSG) is a rare granulomatous pneumonitis which is composed of a background of sarcoidosis-like granulomas, granulomatous vasculitis, and variable amount of necrosis. We reported a case of a 38-year-old nonsmoking woman presented with left-sided chest pain and dyspnea for three days. Chest CT scan exhibited collapse consolidation of the left lower lobe with the presence of two separated small-sized cystic lesions within the collapsed segment. Lung lesion resection was performed, and histological examination confirmed the diagnosis by excluding other causes of granulomatous diseases. The prognosis of NSG is favorable, and medical treatment is usually not necessary, as well as in our case. NSG is a rare disease with nonspecific symptoms and good prognosis which is frequently confused with Wegener’s granulomatosis, sarcoidosis, and Churg–Strauss syndrome. This entity should also be considered as differential diagnosis of necrotizing granulomatous diseases.
format Article
id doaj-art-6ef6b62f003e43aba14760235b8d2e0e
institution Kabale University
issn 1687-9627
1687-9635
language English
publishDate 2019-01-01
publisher Wiley
record_format Article
series Case Reports in Medicine
spelling doaj-art-6ef6b62f003e43aba14760235b8d2e0e2025-08-20T03:34:08ZengWileyCase Reports in Medicine1687-96271687-96352019-01-01201910.1155/2019/46487204648720Necrotizing Sarcoid Granulomatosis with PneumothoraxMihan Pourabdollah0Seyed Reza Saghebi1Mitra Abdolahi2Mitra Sadat Rezaei3Pediatric Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases, Shahid Beheshti University of Medical Sciences, Tehran, IranThoracic Surgery Research Center, National Research Institute of Tuberculosis and Lung Diseases, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Pathology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Pathology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IranNecrotizing sarcoid granulomatosis (NSG) is a rare granulomatous pneumonitis which is composed of a background of sarcoidosis-like granulomas, granulomatous vasculitis, and variable amount of necrosis. We reported a case of a 38-year-old nonsmoking woman presented with left-sided chest pain and dyspnea for three days. Chest CT scan exhibited collapse consolidation of the left lower lobe with the presence of two separated small-sized cystic lesions within the collapsed segment. Lung lesion resection was performed, and histological examination confirmed the diagnosis by excluding other causes of granulomatous diseases. The prognosis of NSG is favorable, and medical treatment is usually not necessary, as well as in our case. NSG is a rare disease with nonspecific symptoms and good prognosis which is frequently confused with Wegener’s granulomatosis, sarcoidosis, and Churg–Strauss syndrome. This entity should also be considered as differential diagnosis of necrotizing granulomatous diseases.http://dx.doi.org/10.1155/2019/4648720
spellingShingle Mihan Pourabdollah
Seyed Reza Saghebi
Mitra Abdolahi
Mitra Sadat Rezaei
Necrotizing Sarcoid Granulomatosis with Pneumothorax
Case Reports in Medicine
title Necrotizing Sarcoid Granulomatosis with Pneumothorax
title_full Necrotizing Sarcoid Granulomatosis with Pneumothorax
title_fullStr Necrotizing Sarcoid Granulomatosis with Pneumothorax
title_full_unstemmed Necrotizing Sarcoid Granulomatosis with Pneumothorax
title_short Necrotizing Sarcoid Granulomatosis with Pneumothorax
title_sort necrotizing sarcoid granulomatosis with pneumothorax
url http://dx.doi.org/10.1155/2019/4648720
work_keys_str_mv AT mihanpourabdollah necrotizingsarcoidgranulomatosiswithpneumothorax
AT seyedrezasaghebi necrotizingsarcoidgranulomatosiswithpneumothorax
AT mitraabdolahi necrotizingsarcoidgranulomatosiswithpneumothorax
AT mitrasadatrezaei necrotizingsarcoidgranulomatosiswithpneumothorax