Open AccessDry cough in a middle-aged man
Author(s) -
Sheetu Singh,
Nishtha Singh,
Ankur Jindal
Publication year - 2016
Publication title -
lung india
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 25
eISSN - 0974-598X
pISSN - 0970-2113
DOI - 10.4103/0970-2113.192870
Subject(s) - medicine , sarcoidosis , hypersensitivity pneumonitis , mediastinal lymphadenopathy , dry cough , radiology , exertional dyspnea , chronic cough , productive cough , dermatology , pneumonitis , computed tomography , lung , surgery , asthma
Cough is often a distressing feature and may be caused due to varied reasons. A 39-year-old man presented with complaints of cough and had significant pigeon exposure. His chest X-ray revealed mediastinal enlargement and computed tomography chest revealed air trapping and mediastinal lymphadenopathy. Both endobronchial and transbronchial biopsies revealed granulomas. Thus, the patient was diagnosed as a case of sarcoidosis and started on steroids. Hypersensitivity pneumonitis may often mimic sarcoidosis; however, the presence of endobronchial granulomas will diagnose the latter condition.