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The Pulmonary Manifestations of Sarcoidosis

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Pulmonary Sarcoidosis

Part of the book series: Respiratory Medicine ((RM,volume 17))

Abstract

The pulmonary manifestation of sarcoidosis has a great variability and is notorious for mimicking many other interstitial lung diseases. Knowledge of pulmonary manifestations is important in diagnosing saroidosis because thoracic involvement is present in over 90 % of patients. In this chapter, classical findings on chest X-ray and HRCT are described as well as multiple uncommon findings in radiology. The most common findings are bilateral hilar lymphadenopathy, reticulonodular pattern, perilymphatic distribution of nodules, and predominant upper- and middle lobe parenchymal abnormalities. Uncommon findings are unilateral lymphadenopathy, reticular pattern, excessive ground glass opacities, pleural disease, solitary mass, and predominant lower lobe parenchymal abnormalities. Furthermore, the appearance of pulmonary hypertension and necrotizing sarcoid granulomatosis will be described. Finally, imaging of pulmonary sarcoidosis with positron emission tomography with 18F-Fluordeoxyglucose (18F-FDG PET) will be discussed.

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Abbreviations

BHL:

Bilateral hilar lymphadenopathy

COP:

Cryptogenic organizing pneumonia

HRCT:

High resolution computed tomography

LIP:

Lymphocytic interstitial pneumonia

NSG:

Necrotizing sarcoid angiitis and granulomatosis

PET:

Positron emission tomography

SPL:

Secondary pulmonary lobule

SURT:

Sarcoidosis of the upper respiratory tract

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Veltkamp, M., Grutters, J.C. (2014). The Pulmonary Manifestations of Sarcoidosis. In: Judson, M. (eds) Pulmonary Sarcoidosis. Respiratory Medicine, vol 17. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4614-8927-6_2

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