Presentation
Known history of sarcoidosis.
Patient Data
Age: 50 years
Gender: Female
From the case:
Sarcoidosis
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Info
Upper lobe predominant pulmonary scarring, but no oedema or pneumonia. Biventricular pacemaker appropriately positioned.
From the case:
Sarcoidosis
Download
Info
Bilateral upper lobe pulmonary fibrosis and perilymphatic pulmonary nodules. No definite lymphadenopathy. Biventricular pacemaker.
Case Discussion
Although the lungs are the most commonly affected organ in sarcoidosis, about 25% of cases will have cardiac involvement, but most cardiac sarcoid is asymptomatic. Although not visible on a chest x-ray, non-caseating granulomas can involve the cardiac conduction system, which may result in fatal arrhythmias. In this case, the patient did have involvement of the cardiac conduction system, necessitating pacemaker placement.
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