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Case Reports in Pulmonology
Volume 2011, Article ID 268620, 6 pages
Case Report

A Case of Sarcoidosis with Unusual Radiographic Findings that Developed 5 Years after Silicone Augmentation Mammoplasty Complicated by Miliary Tuberculosis during Corticosteroid Treatment

1Department of Internal Medicine, Osaka City General Hospital, Osaka 534-0021, Japan
2Department of Internal Medicine, Osaka City Sumiyoshi Hospital, Osaka 559-0012, Japan

Received 3 July 2011; Accepted 21 July 2011

Academic Editors: A. Corrado, S.-Y. Lee, and K. Nugent

Copyright © 2011 Tomoko Miyashita et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


A 54-year-old woman with a past history of silicone augmentation mammoplasty was admitted with fever and dyspnea with diffuse interstitial shadows on computed tomography (CT). Although radiological findings were atypical, we diagnosed sarcoidosis by laboratory, microbiological, and bronchoalveolar lavage fluid analysis. Corticosteroids ameliorated the condition, but she had recurrent of fever and CT revealed miliary nodules while interstitial shadows disappeared. Liver biopsy showed that noncaseating granuloma and Ziehl-Neelsen stain was positive. We diagnosed miliary tuberculosis which developed during corticosteroid therapy. Antituberculotic therapy resulted in favorable outcome. Possibility exists that onset of sarcoidosis was induced by mammoplasty, namely, human adjuvant disease.