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Sarcoidosis presenting with a pleural effusion
Affiliation:1. Department of Traditional Chinese Medicine, Hangzhou Women''s Hospital, Hangzhou 310008, China;2. Department of Gynecology, Hangzhou Hospital of Traditional Chinese Medicine, Hangzhou 310007, China
Abstract:A male West Indian patient developed a pleural effusion without radiographic evidence of intra-thoracic lymph node or pulmonary abnormality. A pleural biopsy showed non-caseating granulomas. The Kveim test was positive. During treatment with anti-tuberculosis drugs bilateral pulmonary nodular shadows appeared in the chest x-ray. Anti-tuberculosis chemotherapy was stopped and prednisone given. The nodular shadows resolved.
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