Baltsch J.,Pneumologie Allergologie
Atemwegs- und Lungenkrankheiten | Year: 2011
In the case report a patient with a dramatic progression of pulmonary sarcoidosis over a period of 3 years is presented. He developed an additional complicatiing aspergilloma. The progression and the diagnostic steps are represented above all by means of lung function and radiological examinations. Therapeutically, the following steps were taken: oral treatment with prednisolone, itraconazole, and listing for lung transplantation. To demonstrate a progressive pulmonary sarcoidosis, the individually observation for at least three years is recommended. It makes sense, the recommendation appears without symptoms and/or a stable condition at the time checks routinely carried out annually. When bound to change an immediate symptom re-imagination is necessary. In the case described in these recommendations may be an earlier intervention and thus prevention of further progression would have been thinkable. © 2011 Dustri-Verlag Dr. Karl Feistle.