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A Case of Sarcoidosis with Pancytopenia as Resulting from Bone Marrow Involvement
김대영 (울산대학교)
박서진 (울산대학교)
김이랑 (울산대학교)
나수영 (울산대학교)
박진욱 (울산대학교)
오동욱 (울산대학교)
최준석 (울산대학교)
조정민 (울산대학교)
장유진 (울산대학교)
김원영 (울산대학교)
최창민 (울산대학교)
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Abstract
Sarcoidosis is a granulomatous disease that can involve any organ, although it primarily involves the lungs, intrathoracic lymph nodes, skin, and eyes. We present a case of sarcoidosis with pancytopenia, resulting from bone marrow involvement. A 35-year-old man was admitted to hospital for chronic cough and blurred vision. On chest computed tomography, there were multiple pulmonary nodules and mediastinal lymph nodes enlargement. As the patient also showed pancytopenia, we performed a bone marrow biopsy, as well as a transbronchial lung biopsy. Both biopsies showed non-caseating granulomas. We diagnosed the patient with sarcoidosis with pulmonary, bone marrow, uvea, liver and spleen involvement. After oral steroid therapy, the patient’s symptoms as well as his pancytopenia improved. We present this case to demonstrate the significance of bone marrow biopsy in cases of sarcoidosis with pancytopenia, as well the possibility of clinical improvement with steroid treatment.
- keywords
- Sarcoidosis, Pancytopenia, Bone Marrow
참고문헌
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