Miliary sarcoidosis following miliary tuberculosis

A patient who presented with a miliary radiographic pattern due to tubercul osis and later with a similar miliary pattern due to sarcoidosis is describ ed. The patient, a 47-year-old man,was admitted to the hospital due to coug hing, weakness, weight loss and an abnormal chest radiograph with a miliary pattern. A gastric fluid culture was positive for Mycobacterium tuberculos is and he was treated appropriately. He showed complete clinical and radiol ogical remission. One year later he presented with a dry cough and a simila r miliary pattern on the chest roentgenogram, Lung biopsy taken by thoracos copy revealed sarcoidosis, The patient had a complete remission with cortic osteroids, To our knowledge, this is the first report describing a miliary pattern as presenting radiological sign in a patient with tuberculosis who subsequently developed a new miliary pattern due to sarcoidosis. Copyright (C) 2000 S. Karger AG, Basel.