Sarcoidosis – case report
Keywords:
sarcoidosis, pulmonary fibrosis, pregnancyAbstract
Sarcoidosis is a multisystem granulomatous disorder of unknown
cause that presents most frequently in young adults with bilateral
hilar adenopathy and pulmonary infiltrates.
Although the disease spontaneously resolve in many patients,
may also take a progressive and severe outcome. The lack of
markers of activity and prognosis, and the lack of treatment protocols, raise many doubts on the decision to treat and to provide
optimum therapy to the patient.
We present a 32 year old female patient, which is followed for
10 years with the diagnosis of sarcoidosis, initially with lung and lymph node involvement.
Despite the good initial response to steroid therapy, the disease
appears to be steroid-dependent and progressive, with multisystemic involvement.
The steroids side-effects and the inefficiency of azathioprine as
“steroid sparing agent” contribute to the difficulty in monitoring
the progression of the disease.
Given the unfavourable progression of sarcoidosis and the
desire expressed by the patient to become pregnant, we present
this case as a model of the challenges posed by this disease.
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