Sarcoidosis and denim sandblasting: a case report


Uzkeser H., KARATAY S., Yildirim K., EREN S.

TURKISH JOURNAL OF MEDICAL SCIENCES, cilt.43, sa.2, ss.343-345, 2013 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 43 Sayı: 2
  • Basım Tarihi: 2013
  • Doi Numarası: 10.3906/sag-1207-92
  • Dergi Adı: TURKISH JOURNAL OF MEDICAL SCIENCES
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.343-345
  • Anahtar Kelimeler: Sandblasting, lymphadenopathy, sarcoidosis, SILICOSIS
  • Atatürk Üniversitesi Adresli: Evet

Özet

In this case report we present a rare case of sarcoidosis associated with denim sandblasting. A 33-year-old male patient was admitted to our clinic with pain in his shoulders, elbows, wrists, and hips, which had started 5 months earlier. His medical history showed that he had been working in denim sandblasting for the last 4 years. Sacroiliac compression and FABER tests were both positive. Laboratory analysis reported an erythrocyte sedimentation rate of 43 mm/h and serum C-reactive protein of 11 mg/dL. Bilateral hilar and mediastinal multiple lymph nodes of about 2 cm and bilateral parenchymal nodular opacities were observed in the lungs upon computerized tomography. The serum angiotensin-converting enzyme level was 190.10 U/L and 24-h urine Ca was 370.5 mg. We diagnosed sarcoidosis in the patient and we began a steroid therapy of 30 mg/day. Improvements were observed in the patient at the clinic during the following 3-month period. A reduction was identified in the size and number of mediastinal lymph nodes in the follow-up tomography.