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A 66-yr-old woman with dyspnea and weight loss

A 66-yr-old woman with dyspnea and weight loss. previous healthy. 9 months ago: 건강검진 받음 . 별다른 이상소견 없었음 . 7 months ago: dyspea(DOE, ATS I), weight loss(5~6kg/6mon) 발생하여 local 방문하여 감기라고 진단받고 1 주 정도 medication 받음 . 이후 호전 없었음 .

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A 66-yr-old woman with dyspnea and weight loss

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  1. A 66-yr-old woman with dyspnea and weight loss • previous healthy. • 9 months ago: 건강검진 받음. 별다른 이상소견 없었음. • 7 months ago: dyspea(DOE, ATS I), weight loss(5~6kg/6mon) 발생하여 local 방문하여 감기라고 진단받고 1주 정도 medication받음. 이후 호전 없었음. • 3 개월 전 : local 방문하여CXR, CT 시행하고 이상소견 있으니 큰 병원 방문하라는 권유 듣고 refer됨. • 본원 IM3 OPD 방문함. r/o LCA, r/o pul. TB imp.하에 anti-TB medicaiton 시험적으로 시도함. • INH, RFP4, EMB, B6, PZA5, PANC 21일 복용한 후 W/U 위해 입원함.

  2. 19778681 19778681 Mild prominent of right hilum and increased interstitial marking

  3. Bilateral homogeneous lymph node enlargement in superior mediastinal, hilar, and subcarinal areaBronchovascular bundle thickening in RUL

  4. Bronchoscopic biopsy Bronchial mucosa Submucosal non-caseating granuloma

  5. Submucosal non-caseating granuloma, suggestive sarcoidosis

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