Case Report
Volume: 8 | Issue: 5 | Published: May 02, 2024 | Pages: 99 - 103 | DOI: 10.24911/ejmcr.173-1684354133
Spontaneous Pneumothorax as an Early Manifestation of Pulmonary Sarcoidosis: a case-based review
Authors:
Arif Kodza
, Bana Hadid
, Sumatha Channapatna Suresh
, Iqra Aftab
, Elif Yakut
, Aleksander Feoktistov
, Eugeniya Golub
Article Info
Authors
Arif Kodza
New York University Langone Hospital - Brooklyn, Department of Internal Medicine, Brooklyn, USA
Bana Hadid
Columbia University Irving Medical Center, Department of Internal Medicine, NY, USA
Sumatha Channapatna Suresh
State University of New York Downstate Health Sciences University, Department of Internal Medicine, Brooklyn, USA
Elif Yakut
NYC Health and Hospitals/Kings County Hospital Center, Department of Pathology, NY, USA
Aleksander Feoktistov
NYC Health and Hospitals/Kings County Hospital Center, Department of Rheumatology, NY, USA
Eugeniya Golub
NYC Health and Hospitals/Kings County Hospital Center, Department of Rheumatology, NY, USA.
Publication History
Received: May 17, 2023
Revised: December 04, 2023
Accepted: February 10, 2024
Published: May 02, 2024
Abstract
Background: Sarcoidosis is a multi-system inflammatory disorder characterized by non-caseating granulomas with predominantly lung manifestations that can cause restrictive or, less commonly, obstructive lung disease. Rarely is pneumothorax a manifestation of sarcoidosis; it has been reported as an early finding in sarcoidosis, but it is typically attributed to ruptured bullae, cysts, or pleural granulomas. Case presentation: We present a unique case of spontaneous pneumothorax attributed to biopsy-proven sarcoid disease in a patient with no prior history of pulmonary complications. The patient's rapid development of novel pulmonary sequelae necessitates treatment of sarcoidosis early in disease course. Conclusion: We recommend a treatment plan of appropriate chest tube placement in the affected lung(s) and prompt steroid therapy for patients with sarcoidosis presenting with a pneumothorax. We also review the literature for the etiology, pathophysiology, and presentation of pneumothorax in sarcoidosis, treatment of this sequela, and pulmonary function test findings in these patients.
Keywords: sarcoidosis, pneumothorax, bullous disease, restrictive lung disease, steroid therapy, green
