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  • Title: Sarcoidosis associated with renal masses on computed tomography.
    Author: Mizunoe S, Yamasaki T, Tokimatsu I, Kushima H, Matsunaga N, Hashinaga K, Miyazaki Y, Komatsu E, Kadota J.
    Journal: Intern Med; 2006; 45(5):279-82. PubMed ID: 16595994.
    Abstract:
    A 50-year-old woman was admitted to our hospital after computed tomography (CT) revealed renal masses and mediastinal lymphadenopathy. Uveitis had previously been diagnosed by a local ophthalmologist. Elevated levels of serum soluble IL2 receptor were observed. However, renal function was not compromised. Abdominal CT showed multiple low attenuation tumor-like nodules in both kidneys. As lymphoma was considered likely, CT-guided renal biopsy was performed; however, histological examination of the excised specimens revealed noncaseating granulomas. Analysis of bronchoalveolar lavage fluid demonstrated a sarcoidosis pattern. The final diagnosis was sarcoidosis with renal involvement.
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