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Vol. 24. Issue 3.
Pages 139-141 (May - June 1988)
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Vol. 24. Issue 3.
Pages 139-141 (May - June 1988)
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Sarcoidosis: manifestaciones radiologicas pulmonares infrecuentes
Sarcoidosis: uncommon radiologic pulmonary manifestations
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C. Agusti, A. Xaubet, V. Plaza, J.Ma Montserrat, C. Picado, A. Agusti Vidal
Servei de Pneumologia, Hospital Clinic, Barcelona
L.I. Nualart*
* Unitat de Pneumologia, Hospital de Sant Joan, Reus
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La radiografía de tórax en la sarcoidosis muestra, de forma característica, adenopatías hiliares bilaterales con o sin infiltrados intersticiales asociados. Sin embargo, en ocasiones las imágenes radiográficas son atípicas y pueden ser muy variadas, por lo que el diagnóstico de sarcoidosis puede ser difícil de establecer, en especial si se tiene en cuenta la inespecificidad del cuadro clínico e histológico.

Se presentan cuatro casos de sarcoidosis con manifestaciones radiológicas inusuales y se comentan las características y posibles mecanismos patogénicos. Se concluye que la sarcoidosis debe incluirse en el diagnóstico diferencial de cualquier alteración radiográfica.

The chest x-ray in sarcoidosis characteristically shows bilateral hilar adenopathies associated or not to interstitial infiltrates. However, occasionally, the radiographic changes are atypical and can be very diverse and the diagnosis of sarcoidosis can be therefore very difficult to establish especially if the non-specificity of the clinical and histological picture is taken into account.

Four cases of sarcoidosis with unusual radiologic manifestations are presented and the characteristics and possible pathogenic mechanisms are discussed. It is concluded that sarcoidosis must be included in the differential diagnosis of any roentgenographic change.

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Bibliografía
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Copyright © 1988. Sociedad Española de Neumología y Cirugía Torácica
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