CLINICAL CASE OF LUNG SARCOIDOSIS WITH INTEGRATED INTERDISCIPLINARY DIAGNOSIS VERIFICATION
DOI:
https://doi.org/10.11603/1811-2471.2020.v.i1.11070Keywords:
sarcoidosis, bronchoscopy, computed tomography, determination of angiotensin-converting enzyme, histological examination of lymph node, glucocorticosteroid therapyAbstract
The idiopathic onset, the variety of clinical manifestations, the inability to predict the course requires the maximum consideration of all confirmed cases of sarcoidosis in order to accurately select a therapy strategy.
Material and Methods. Description of diagnostic and verification pulmonary sarcoidosis using different methods of examination before and after treatment for objective reporting capabilities of each type of diagnosis.
Results. The clinical case of sarcoidosis in a 45 year-old patient is considered, the importance of combining modern methods of examination, including computed tomography, polymerase-chain reaction in the study of sputum, determination of angiotensin-converting enzyme, video bronchoscopy, and biopsy of lymph node are demonstrated.
Conclusions. The use of a comprehensive approach in the diagnosis of pulmonary sarcoidosis can not only verify but also trace the dynamics of the pathological process under the influence of prescribed therapeutic measures and optimally adjust the dosage of glucocorticosteroid therapy.
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