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But, the biopsy specimens obtained from both the liver and lung area unveiled noncaseating epithelioid granulomas, which confirmed the diagnosis of sarcoidosis. The patient underwent splenectomy because of modern cytopenia and high risk of splenic rupture. After the surgery, the condition of the patient had been consistently advantageous to 3 months. Then, she gradually developed productive cough and dyspnea. Both sinus and chest computed tomogr
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