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- W2098082104 abstract "To the Editors:Bilateral pulmonary nodules are a relatively common finding in thoracic radiology and hence are an important problem that chest physicians often face. Aetiology can be diverse, ranging from neoplastic conditions to infectious lesions. An accurate and prompt diagnosis is needed in order to target the most appropriate and least harmful treatment. We report the case of a 49-yr-old, Caucasian, otherwise healthy male patient with bilateral lung nodules and an unusual diagnosis.The patient had an unremarkable history and was referred due to asymptomatic bilateral lung nodules. He had stopped smoking 6 months earlier and had a normal chest radiograph a year before referral, taken for follow-up of benign colon polyps. At the time of presentation he was not on any medication.The patient was an engineer working in a Belgian high-tech facility. His job mainly consisted of office work with occasional visits to production sites where coating of medical material was performed. When visiting these sites, he did not systematically wear a protective mask. The problems occurred after a business trip to the USA where he met with three colleagues. He first visited his general practitioner with a flu-like syndrome. Other symptoms included a productive cough, night sweats and loss of weight (5 kg in 2 weeks). He was treated symptomatically with paracetamol. Two of his colleagues developed the same complaints. One never visited a doctor but the other did and was diagnosed with sarcoidosis based on the finding of non-necrotising granulomatous lesions in transbronchial biopsies. He was put on steroids and his condition improved. Oddly, the third colleague who did not visit the doctor had an existing diagnosis of sarcoidosis but remained asymptomatic.Due to persistent cough and low-grade fever, our patient was subsequently referred …" @default.
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- W2098082104 date "2011-03-31" @default.
- W2098082104 modified "2023-09-24" @default.
- W2098082104 title "Three colleagues with sarcoidosis?" @default.
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- W2098082104 doi "https://doi.org/10.1183/09031936.00131810" @default.
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