Chest
Selected ReportsSuperior Vena Cava Obstruction Due to Sarcoidosis
Section snippets
CASE REPORT
A 24-year-old Negro woman was admitted to the Los Angeles County-University of Southern California Medical Center with pleuritic-type chest pain and a nonproductive hacking cough of approximately two weeks' duration. The patient stated that she had a mild fever and also had a seven pound weight loss. Except for a few small palpable cervical and supraclavicular nodes the physical examination findings were essentially normal. There was no clinical evidence of superior vena caval obstruction.
DISCUSSION
Obstruction of the superior vena cava usually presents clinically with dilatation of the cervical and superficial trunk veins. If collateral circulation is inadequate, ruddy cyanosis, edema of the face, arms and upper thorax occurs. There is also marked patient discomfort in the recumbent position. Headaches, dizziness and syncope may result from cerebral anoxia. Venous pressures in the upper extremities are usually elevated. Chest roentgenograms may reveal fullness of the soft tissues of the
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Cited by (33)
Sarcoidosis as unusual cause of massive pleural effusion
2015, Respiratory Medicine Case ReportsIntrathoracic Sarcoidosis
2009, Disease-a-MonthPulmonary Sarcoidosis
2008, Clinics in Chest MedicineCitation Excerpt :Pleural involvement is an uncommon manifestation of sarcoidosis. It may manifest as a pleural effusion, pneumothorax, pleural thickening and nodules, hydropneumothorax, trapped lung, hemothorax, or chylothorax [4,70–76]. Clinically significant pleural manifestations (eg, pneumothorax, pleural effusions or chylothorax) occur in 2% to 4% of patients who have sarcoidosis [4,70,72,77–81].
Pleural effusions in a series of 181 outpatients with sarcoidosis
2006, ChestCitation Excerpt :Sarcoidosis frequently involves the lung, lymph nodes, skin, eyes, and liver. When sarcoidosis involves the pleura, it may manifest as a PE, pneumothorax, pleural thickening, hydropneumothorax, trapped lung, hemothorax, or chylothorax.6,7,8,9,10 Since the first report by Schaumann11 on pleural sarcoidosis in 1933, PE has remained a rare manifestation of sarcoidosis in all published series.
Surgical management of superior vena caval syndrome in sarcoidosis
1998, Annals of Thoracic SurgeryRecurrent venous obstruction caused by sarcoidosis
1998, Respiratory Medicine