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다량의 복수로 발현된 사르코이드증 1예

Other Titles
 A Case of Sarcoidosis Combined with Massive Ascites 
Authors
 이수진  ;  김은혜  ;  김영숙  ;  송제은  ;  정수진  ;  이천균  ;  장명희  ;  강중구  ;  최윤정  ;  박수미  ;  이찬희 
Citation
 Journal of Rheumatic Diseases, Vol.19(6) : 364-368, 2012 
Journal Title
 Journal of Rheumatic Diseases 
ISSN
 2093-940X 
Issue Date
2012
Keywords
Sarcoidosis ; Massive ascites ; Liver involvement ; Peritoneal involvement ; Methotrexate
Abstract
Sarcoidosis is a multi-systemic granulomatous disease of unknown cause, which most commonly involves lung, skin, eye, liver and lymph nodes. Herein, we report a case of sarcoidosis presented with massive ascites. A 47-year-old male patient visited our hospital with symptoms of general weakness and weight loss from past 4 months. Abdomen computed tomography showed multiple lymphadenopathy and hepatosplenomegaly. Lymph node biopsy demonstrated non-caseating granulomas. After biopsy, development of massive uncontrolled ascites was noted. Liver biopsy showed non-cirrhotic hepatic and portal fibrosis and omental biopsy showed submesothelial diffuse fibrosis and focal chronic inflammation, which were suggestive of hepatic and peritoneal involvement in sarcoidosis. Ascites was controlled after subsequent treatment with corticosteroids and methotrexate.
Files in This Item:
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DOI
10.4078/jrd.2012.19.6.364
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
김영숙(Kim, Young Sook)
김은혜(Kim, Eun Hye) ORCID logo https://orcid.org/0000-0001-6691-6837
이수진(Lee, Su Jin) ORCID logo https://orcid.org/0000-0002-7325-2538
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/165145
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