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  • Title: [A case of sarcoidosis associated with severe cardiac conduction disturbances and unilateral pleural effusion].
    Author: Kita T, Iwata M, Ida M, Horiguchi T, Fujimoto K, Sato A.
    Journal: Nihon Kyobu Shikkan Gakkai Zasshi; 1994 Sep; 32(9):913-7. PubMed ID: 7799566.
    Abstract:
    A 23-year-old man was admitted to our hospital because of non-productive cough. Chest X-ray demonstrated bilateral hilar lymphadenopathy, bilateral infiltration shadows and right pleural effusion. ECG showed complete A-V block and sinus arrest. Transbronchial lung biopsy and pleural biopsy specimens showed non-necrotizing epithelioid cell granulomas. The patient was diagnosed as having sarcoidosis, and was treated with steroid and pacemaker. After steroid therapy, myocardial imaging with thallium-201 showed increase of uptake and the pleural effusion disappeared.
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