Prolonged fever, dyspnoea and diffuse pleural thickening in a 20-year-old man
A 20-year-old man was referred for intermittent fever associated with weight loss and progressive dyspnoea that were unresponsive to empirical antibiotics and anti-tuberculous chemotherapy. A diagnosis of pleuropulmonary sarcoidosis was eventually made histologically via a thoracotomy and the patient improved with corticosteroid therapy.
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Competing interests: none.