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                      "titulo" => "Recognition of distinctive patterns of gallium-67 distribution in sarcoidosis"
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                          "etal" => false
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                            0 => "S&#46;B&#46; Sulavik"
                            1 => "R&#46;P&#46; Spencer"
                            2 => "D&#46;A&#46; Weed"
                            3 => "H&#46;R&#46; Shapiro"
                            4 => "S&#46;T&#46; Shiue"
                            5 => "R&#46;J&#46; Castriotta"
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                        "tituloSerie" => "J Nucl Med"
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Clinical Image
Lambda Sign: Sarcoidosis
El signo lambda: sarcoidosis
Yu Matsumotoa,
Corresponding author
yuumatsumoto0809@gmail.com

Corresponding author.
, Masahiro Yamasakia, Naoko Matsumotoa, Masaya Taniwakia, Noboru Hattorib
a Department of Respiratory Disease, Hiroshima Red Cross Hospital & Atomic Bomb Survivors Hospital, Naka-ku, Hiroshima, Japan
b Department of Molecular and Internal Medicine, Institute of Biomedical & Health Sciences, Hiroshima University, Minami-ku, Hiroshima, Japan
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          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Chest radiograph showing bilateral hilar lymphadenopathy&#46; &#40;B&#41; Chest computed tomography scan showing the bilateral hilar and mediastinal lymphadenopathy&#46; &#40;C&#41; &#91;18F&#93;-fluorodeoxyglucose positron emission tomography scan showing the so-called &#8220;lambda &#40;&#955;&#41; sign&#8221;&#44; indicating a high uptake in the bilateral hilar and mediastinal lymphadenopathy with a prominent right paratracheal region&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 43-year-old woman was referred to our hospital with bilateral hilar lymphadenopathy on chest radiography&#46; She was examined by enhanced computed tomography scan&#44; and bilateral hilar and mediastinal lymphadenopathy was detected&#46; &#91;18F&#93;-fluorodeoxyglucose &#40;FDG&#41; positron emission tomography &#40;PET&#41; showed a high uptake in the above-mentioned lymphadenopathy&#44; demonstrated by the so-called &#8220;lambda &#40;&#955;&#41; sign&#8221; &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#59; therefore&#44; sarcoidosis was suspected&#46; A granuloma in the lymph node specimen and a high CD4&#47;CD8 ratio of BAL were detected on endobronchial ultrasound-guided needle aspiration of the mediastinal lymph node and bronchoalveolar lavage &#40;BAL&#41; fluid examination&#46; Therefore&#44; she was diagnosed with sarcoidosis&#46; As no sarcoid lesions were detected in other organs&#44; such as heart&#44; eyes&#44; and skin&#44; she was followed-up with no treatment&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The lambda sign means that a bilateral hilar and mediastinal lymphadenopathy with a prominent right paratracheal region on gallium scintigraphy gives the impression of an uptake pattern shaped as a &#8220;&#955;&#8221;&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a> This sign shows high specificity for sarcoidosis&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a> In a recent report&#44; the lambda sign was also observed on an &#91;18F&#93;-FDG PET&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">2</span></a> It has remarkable sensitivity in detection of occult disease sites&#44; hence providing biopsy guidance&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a> A typical lambda sign supports the diagnosis of sarcoidosis and reinforces the indication to perform appropriate examinations&#46;</p></span>"
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                    0 => array:2 [
                      "titulo" => "Recognition of distinctive patterns of gallium-67 distribution in sarcoidosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "S&#46;B&#46; Sulavik"
                            1 => "R&#46;P&#46; Spencer"
                            2 => "D&#46;A&#46; Weed"
                            3 => "H&#46;R&#46; Shapiro"
                            4 => "S&#46;T&#46; Shiue"
                            5 => "R&#46;J&#46; Castriotta"
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                        "tituloSerie" => "J Nucl Med"
                        "fecha" => "1990"
                        "volumen" => "31"
                        "paginaInicial" => "1909"
                        "paginaFinal" => "1914"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2266386"
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                          "pii" => "S0735109716367687"
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              "identificador" => "bib0025"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "<span class="elsevierStyleSup">18</span>F-FDG PET&#47;CT for the diagnosis of sarcoidosis in a patient with bilateral inflammatory involvement of the parotid and lacrimal glands &#40;panda sign&#41; and bilateral hilar and mediastinal lymphadenopathy &#40;lambda sign&#41;"
                      "autores" => array:1 [
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                          "autores" => array:4 [
                            0 => "M&#46;&#214;&#46; &#214;ks&#252;z"
                            1 => "M&#46;K&#46; Werner"
                            2 => "P&#46; Aschoff"
                            3 => "C&#46; Pfannenberg"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Eur J Nucl Med Imaging"
                        "fecha" => "2011"
                        "volumen" => "38"
                        "paginaInicial" => "603"
                        "itemHostRev" => array:3 [
                          "pii" => "S1474442212700170"
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                          "issn" => "14744422"
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              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Diagnosis of pulmonary sarcoidosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "D&#46; Israel-Biet"
                            1 => "D&#46; Valeyre"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/MCP.0b013e3283645950"
                      "Revista" => array:6 [
                        "tituloSerie" => "Curr Opin Pulm Med"
                        "fecha" => "2013"
                        "volumen" => "19"
                        "paginaInicial" => "510"
                        "paginaFinal" => "515"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23880701"
                            "web" => "Medline"
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ISSN: 15792129
Original language: English
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