Sarcoidosis sist谷mica necrotizante con afectaci車n pulmonar y del sistema nervioso central

作者:Rios Fernandez; R; Callejas Rubio; J L; Guerrero Fernandez; M; Serrano Falcon; M M; Ortego Centeno; N
来源:Anales de Medicina Interna, 2008.
DOI:10.4321/S0212-71992008000100006

摘要

sarcoidosis is a multisystemic disease which diagnosis depends on the presence of nonnecrotizing granulomas in the biopsy. however there are variants such as necrotizing sarcoidal granulomas or nodular sarcoidosis which have atypical findings and make difficult the differential diagnosis with other infectious processes. we describe a case of a man who develops granulomas with extensive necrosis in a systemic sarcoidosis that affected the lung and the central nervous system. this finding made us to make the diagnosis of tuberculosis and delay the specific treatment

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