Internal medicine (Tokyo, Japan) · 2019
Atypical Sarcoidosis Diagnosed by Massive Splenomegaly.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Saito Satomi, Kodama Kazuhisa, Kogiso Tomomi, Yamanashi Yuki, Taniai Makiko, Ariizumi Shunichi, Yamamoto Masakazu, Tokushige Katsutoshi
Аннотация
We examined a 22-year-old woman who was admitted to our hospital with abdominal distention. At 19 years of age, the patient presented with hepatosplenomegaly. She was examined several times in another hospital; however, the cause was unidentified. Our evaluation showed severe pancytopenia and a spleen 13×24 cm in size. The serum levels of angiotensin-converting enzyme and lysozyme were elevated. She was diagnosed with liver sarcoidosis based on non-caseating epithelioid granuloma in liver biopsy tissue. To improve the symptoms, splenectomy was performed, and her pancytopenia and symptoms improved. Sarcoidosis should be considered in cases of massive splenomegaly.