I am a 48 year old male who was diagnosed with Sarcodosis 15 years ago and at the time I was put on both inhalant and oral steriods for about 6 months. I never had any symptoms and the doctor said after looking at xrays 1 year later said the Sarcoidosis was in remission. Last week while undergoing a CT Scan in ER for Diverticulitis a approxiamately 1 1/2" Nodule was seen on the lower lobe of my left lung. In discussing this with my current Physician he stated that he had never heard of Sarcoidosis re-occuring in a patient and ordered a full CT Scan to be done on my lungs. That was done no Tuesday and I am waiting for results. According to this physician Xrays over last 5 years have been "Clear". Can this be sarcoidosis? Is it likely not? He stated they might want to do needle biopsy depending on CT Scan, is that the logical next step? I had a Biopsy of Lymph node to disagnose original Sarcoid not needle biopsy. I am very worried about this as I was a 1 pack smoker for about 15 years quitting 6 years ago. Thanks for your input.
Recurrence of previously inactive sarcoidosis is quite uncommon, but can occur. This nodule could be sarcoidosis, but it is unlikely. That cannot be the assumption. Many such nodules prove to be benign, many of which are called granulomas. The description of previously normal x-rays indicates that this is a new nodule and your physician's recommendation of a biopsy is appropriate, including a needle biopsy, especially if the nodule is peripheral.
The CT scan may resolve the issue if it strongly suggests a typically benign or malignant lesion. If not you might ask your doctor about the value of an MRI. There are reports that the combination of CT and MRI is more often diagnostic than either one alone.
For the past year I have been having chronic lung inflammation. At first they thought it was pnuemonia (pneumonia), however, further testing PFT, VATS, Open Lung, and 2 bronchoscopes prove it is Sarcoidosis and Atypical Mycobacteria Non Tubercolosis.
Next week I am to have a Gallium Scan and possibly another broncho-lavage wash to see if they can capture more of the organism. It seems it is very rare for me to have the later portion of the disease because I am a 46 year old black female. Infectious Disease doctor told me this is something that normally affects 2 in 100,000 people. Mainly middle aged, thin, white females or HIV+ people of which I am none.
I am told there is no cure for Atypical Mycobacteria but it is treatable. Only thing, I am allergic to the drugs used for treatment and thus my life expectancy may be cut short.
Are their drugs on the market besides Biaxin that treat this organism? On top of all that I am also an asthmatic.
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.