a 66-yr-old woman with dyspnea and weight loss previous healthy. 9 months ago: 건강검진 받음....
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![Page 1: A 66-yr-old woman with dyspnea and weight loss previous healthy. 9 months ago: 건강검진 받음. 별다른 이상소견 없었음. 7 months ago: dyspea(DOE, ATS I), weight loss(5~6kg/6mon)](https://reader035.vdocuments.mx/reader035/viewer/2022062804/56649e385503460f94b284d2/html5/thumbnails/1.jpg)
A 66-yr-old woman with dyspnea and weight loss
• previous healthy.• 9 months ago: 건강검진 받음 . 별다른 이상소견 없었음 .• 7 months ago: dyspea(DOE, ATS I), weight loss(5~6kg/6
mon) 발생하여 local 방문하여 감기라고 진단받고 1 주 정도 medication 받음 . 이후 호전 없었음 .
• 3 개월 전 : local 방문하여 CXR, CT 시행하고 이상소견 있으니 큰 병원 방문하라는 권유 듣고 refer 됨 .
• 본원 IM3 OPD 방문함 . r/o LCA, r/o pul. TB imp. 하에 anti-TB medicaiton 시험적으로 시도함 .
• INH, RFP4, EMB, B6, PZA5, PANC 21 일 복용한 후 W/U 위해 입원함 .
![Page 2: A 66-yr-old woman with dyspnea and weight loss previous healthy. 9 months ago: 건강검진 받음. 별다른 이상소견 없었음. 7 months ago: dyspea(DOE, ATS I), weight loss(5~6kg/6mon)](https://reader035.vdocuments.mx/reader035/viewer/2022062804/56649e385503460f94b284d2/html5/thumbnails/2.jpg)
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Mild prominent of right hilum and increased interstitial marking
![Page 3: A 66-yr-old woman with dyspnea and weight loss previous healthy. 9 months ago: 건강검진 받음. 별다른 이상소견 없었음. 7 months ago: dyspea(DOE, ATS I), weight loss(5~6kg/6mon)](https://reader035.vdocuments.mx/reader035/viewer/2022062804/56649e385503460f94b284d2/html5/thumbnails/3.jpg)
Bilateral homogeneous lymph node enlargement in superior mediastinal, hilar, and subcarinal area
Bronchovascular bundle thickening in RUL
![Page 4: A 66-yr-old woman with dyspnea and weight loss previous healthy. 9 months ago: 건강검진 받음. 별다른 이상소견 없었음. 7 months ago: dyspea(DOE, ATS I), weight loss(5~6kg/6mon)](https://reader035.vdocuments.mx/reader035/viewer/2022062804/56649e385503460f94b284d2/html5/thumbnails/4.jpg)
Bronchoscopic biopsy Bronchial mucosa
Submucosal non-caseating granuloma
![Page 5: A 66-yr-old woman with dyspnea and weight loss previous healthy. 9 months ago: 건강검진 받음. 별다른 이상소견 없었음. 7 months ago: dyspea(DOE, ATS I), weight loss(5~6kg/6mon)](https://reader035.vdocuments.mx/reader035/viewer/2022062804/56649e385503460f94b284d2/html5/thumbnails/5.jpg)
Submucosal non-caseating granuloma, suggestive sarcoidosis