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- W2334179322 abstract "症例は73歳男性．発熱と腹部膨満を主訴に受診．入院時腹部CTで腹水貯留とびまん性の腹膜肥厚を認めた．胸部CTでは肺野や縦隔の病変を認めず．血清ACE値は正常，リゾチーム値は高値，ツベルクリン反応・QFTはともに陰性であった．FDG-PETでは，ほぼ全ての腹膜に沿って著しい集積を認め，Gaシンチでも同様の所見であった．腹水は滲出性でリンパ球優位，ADA値は15.2 IU/L．気管支肺胞洗浄液ではリンパ球の増加とCD4/8比高値を認めた．開腹下腹膜生検で壊死を伴わない類上皮細胞肉芽腫を認め，腹膜サルコイドーシスの組織診断群と診断．腹水貯留は約40日で，発熱は約50日で自然に軽快．第64病日に肺野に新しく陰影が出現．気管支洗浄液にて結核菌塗抹・培養陽性であり肺結核の合併と診断．腹膜サルコイドーシスは非常に稀であり，FDG-PET所見も報告がなく，続発して肺結核を発症した事も興味深く，報告する．" @default.
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- W2334179322 date "2011-01-01" @default.
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- W2334179322 title "A Case of Peritoneal Sarcoidosis; Difficult Discrimination from Tuberculous Peritonitis Because of Coexistence with Pulmonary Tuberculous" @default.
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- W2334179322 doi "https://doi.org/10.7878/jjsogd.31.25" @default.
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