A 43-Year-Old Woman With Hoarseness of Voice and Chest Pressure
| Autor: | Matthew J. Miles, Locke J. Bryan, Thomas A. Dillard |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Pulmonary and Respiratory Medicine
Chest pressure Adult medicine.medical_specialty Sarcoidosis medicine.medical_treatment Critical Care and Intensive Care Medicine 03 medical and health sciences 0302 clinical medicine Prednisone medicine Humans Medical history 030212 general & internal medicine Cervical cancer Hysterectomy Hoarseness business.industry Second opinion medicine.disease Hodgkin Disease Hoarse voice 030228 respiratory system Female Radiology Lymph Nodes medicine.symptom Cardiology and Cardiovascular Medicine business medicine.drug |
| Zdroj: | Chest. 156(5) |
| ISSN: | 1931-3543 |
| Popis: | Case Presentation A 43-year-old woman with a medical history of cervical cancer treated with curative hysterectomy 12 years earlier developed progressive dyspnea, chest discomfort, and hoarse voice over a 7-month period. The patient never smoked and had no exposure history. Imaging at an outside hospital showed a mediastinal mass with hilar adenopathy (Fig 1A), which was biopsied via endobronchial ultrasound transbronchial needle aspiration (EBUS-TBNA) and revealed noncaseating granulomas with surrounding rims of lymphocytes (Fig 1B). The patient was given the diagnosis of sarcoidosis and started on prednisone 60 mg daily. She had no improvement in symptoms after 3 months of therapy and therefore presented for a second opinion. |
| Databáze: | OpenAIRE |
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