Massive hemoptysis in sarcoidosis

Hemoptysis is a rare but often severe event in sarcoidosis. It usually occu rs in patients with advanced, fibrotic lung disease. We herein report the c ase of a 36-year old female patient with type II pulmonary sarcoidosis who presented with abundant hemoptysis very early during the course of her dise ase. Two attempts to embolize bronchial arteries remained unsuccessful and surgery was eventually required to stop the bleeding. Clinical, microbiolog ical. radiological and pathological data indicate that haemoptysis was caus ed by systemic hypervascularization around sarcoidosis granuloma.