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Bullous Sarcoidosis : A Report of Three Cases FREE TO VIEW

Marc A. Judson; Charlie Strange
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From the Division of Pulmonary and Critical Care Medicine, Medical University of South Carolina, Charleston, SC.

Marc A. Judson, MD, FCCP, Division of Pulmonary And Critical Care Medicine, Medical University of South Carolina, 171 Ashley Ave, Charleston, SC 29425; e-mail: judsonma@musc.edu

1998 by the American College of Chest Physicians

Chest. 1998;114(5):1474-1478. doi:10.1378/chest.114.5.1474
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Three cases of pulmonary sarcoidosis presented as bullous emphysema with severe airflow obstruction, and the diagnosis of sarcoidosis was unsuspected for at least 2 years. Potential mechanisms of bullous emphysema from sarcoidosis are discussed. The physician should suspect sarcoidosis as the cause of bullous emphysema when young patients who have smoked relatively few pack-years present with emphysema or severe airflow obstruction. Additional clues are the presence of mediastinal adenopathy on a chest radiograph or a CT scan and a history consistent with extrapulmonary sarcoidosis.




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