Stage IV Sarcoidosis with Cor pulmonale: A Case Report

Authors

  • Mostashirul Haque Department of Cardiology, Anwer Khan Modern Medical College & Hospital, Dhaka
  • Tunaggina Afrin Khan Department of Cardiology, Anwer Khan Modern Medical College & Hospital, Dhaka
  • Md Rasul Amin Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Montasin Rezwan Department of Cardiology, Anwer Khan Modern Medical College & Hospital, Dhaka
  • Md Rashidul Hasan Department of Chest Medicine, National Institute of Chest Disease Hospital, Dhaka
  • KMHS Sirajul Haque Department of Cardiology, Anwer Khan Modern Medical College & Hospital, Dhaka
  • HI Lutfur Rahman Khan Department of Cardiology, Anwer Khan Modern Medical College & Hospital, Dhaka

DOI:

https://doi.org/10.3329/bhj.v30i1.28136

Abstract

Sarcoidosis is a well known systemic disorder that invariably involves lungs. However, pulmonary hypertension and cor-pulmanle are not common due to pulmonary involvement of sarcoidosis. We report a case of pulmonary hypertension leading to corpulmonale due to sarcoidosis. An elderly female suffering from hypertension & sarcoidosis developed complications and arrived at the diagnosis by correlating various investigations. X-ray chest (P/A) showed cardiomegaly (right ventricular type), reticulo-nodular shadow involving both mid and lower zone; characteristic high resolution CT (HRCT) scan appearances include reticulonodular opacities; pulmonary function test showed restrictive type of defect; ECG showed right ventricular hypertrophy with strain pattern; in echocardiogram there were right ventricular hypertrophy (RVH) with pulmonary artery systolic pressure (PASP) of 63 mmHg indicating severe pulmonary arterial hypertension (PH); along with significantly elevated B-type natriuretic peptide(BNP) level.

Bangladesh Heart Journal 2015; 30(1) : 37-42

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Author Biography

Mostashirul Haque, Department of Cardiology, Anwer Khan Modern Medical College & Hospital, Dhaka



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Published

2016-06-13

How to Cite

Haque, M., Khan, T. A., Amin, M. R., Rezwan, M., Hasan, M. R., Haque, K. S., & Khan, H. L. R. (2016). Stage IV Sarcoidosis with Cor pulmonale: A Case Report. Bangladesh Heart Journal, 30(1), 37–42. https://doi.org/10.3329/bhj.v30i1.28136

Issue

Vol. 30 No. 1 (2015)

Section

Case Reports

License

© Bangladesh Cardiac Society.  

Creative Commons Licence
Articles in the Bangladesh Heart Journal are Open Access articles published under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC).  This license permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.