SARCOIDOSIS WITH PROLONGED REMISSION – A CLINICAL CASE REPORT

Abstract

Sarcoidosis is a rare multisystem disease characterized by the development of inflammatory granulomatous formations in tissues without caseous necrosis. It can involve any organ or system where T-lymphocytes and mononuclear phagocytes are concentrated. Sarcoidosis usually occurs in adults of both sexes, although research shows that it is more common in females. Many infectious and non-infectious factors are considered as probable causes of the development of sarcoidosis. This article describes pulmonary sarcoidosis in a 41-year-old woman, whom we have been monitoring since 2015. The patient came to the clinic with complaints: shortness of breath, spasmodic cough, pain in the left ring area. She was initially treated with a diagnosis of pneumonia, without success. Radiography of the lungs showed lymphadenopathy of the roots and mediastinum of the lungs, along with changes in the lung parenchyma. In order to rule out oncological disease, additional studies were appointed: on chest computer tomography - enlarged tracheobronchial lymph nodes; by fibrobronchoscopy: tubular bronchiectasis; By cytology of the washed material: leukocytes and lymphocytes were seen in the mucus, by biopsy: non-caseous granulomatosis. As a result of examination, a diagnosis of pulmonary sarcoidosis was made. Treatment with hormonal drugs was prescribed. For the purpose of continuous monitoring, the patient has been under observation for 3 years and instrumental-laboratory studies are being conducted, steroid treatment is continued according to the appropriate scheme. At this stage, the disease is not progressing and is manageable, remission has been achieved. There are no additional complications.