Nihon Kokyūki Gakkai zasshi = the journal of the Japanese Respiratory Society
-
Nihon Kokyuki Gakkai Zasshi · Jun 2009
Case Reports[A case of pleural sarcoidosis with bilateral pleural effusion].
A 25-year-old man was referred to our hospital because of cough and an abnormal shadow on chest X-ray film showing bilateral hilar lymphadenopathy accompanied by multiple nodules in both lung fields. A transbronchial lung biopsy demonstrated non-caseating epithelioid cell granulomas, and we diagnosed sarcoidosis. He was observed without medication for 18 months, however, his chest X-ray film findings gradually worsened, and bilateral pleural effusion appeared. ⋯ Based on these findings, pleural sarcoidosis was diagnosed. He was treated with 30 mg oral prednisolone daily, and both pleural effusion and nodules of lung fields on chest X-ray film subsided. Sarcoidosis with bilateral pleural effusions is rare, and we discuss this condition in relation to the pertinent literature.
-
Nihon Kokyuki Gakkai Zasshi · Jun 2009
[Qualitative analysis of interns' decision-making process of selecting respiratory medicine as their specialty].
Because there is a shortage of pulmonologists in Japan, it is crucial to understand interns' decision-making process of selecting respiratory medicine as their specialty. ⋯ Experiencing enthusiastic mentorship, being impressed with pulmonologists' daily practice, and realizing profoundness of respiratory medicine influenced the decision-making process.