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Pulmonary sarcoidosis and the acute respiratory distress syndrome (ARDS)
  1. F Sabbagh,
  2. C Gibbs,
  3. L S Efferen
  1. State University of New York - Health Science Center at Brooklyn & Kings County Hospital Center, Brooklyn, NY 11203, USA
  1. Correspondence to:
    Dr L S Efferen, Department of Medicine, Long Island Jewish Medical Center, 270–05 76th Avenue, New Hyde Park, NY 11040, USA;


A 50 year old man presented with 3 weeks of exertional dyspnoea. His chest radiograph on admission revealed diffuse bilateral interstitial infiltrates. He did not respond to antibiotics but subsequently improved on high dose corticosteroids. Bronchoscopic examination with transbronchial biopsy specimens revealed the presence of non-necrotising granulomas. This case demonstrates an unusual clinical presentation of life threatening pulmonary sarcoidosis characterised by the development of acute respiratory distress syndrome (ARDS) with acute respiratory failure.

  • sarcoidosis
  • acute respiratory distress syndrome
  • acute respiratory failure

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