Castroagudin J F, Gonzalez-Quintela A, Moldes J, Forteza J, Barrio E
Department of Gastroenterology, Complejo Hospitalario Universitario, Santiago de Compostela, Spain.
Hepatogastroenterology. 1999 Jul-Aug;46(28):2414-8.
A 60 year-old white woman presented with sudden painless dysphagia, hoarseness and dysphonia. A diagnosis of sarcoidosis was made based on bilateral hilar lymphadenopathy, gallium uptake, elevated serum angiotensin-converting enzyme levels, as well as non-caseating granulomatous lymphadenitis in a prescalenic node. Symptoms were attributed to isolated vagus neuropathy, a rare form of presentation of neurosarcoidosis.
一名60岁的白人女性出现突发性无痛性吞咽困难、声音嘶哑和发音障碍。根据双侧肺门淋巴结肿大、镓摄取、血清血管紧张素转换酶水平升高以及颈前淋巴结非干酪样肉芽肿性淋巴结炎，诊断为结节病。症状归因于孤立性迷走神经病变，这是神经结节病的一种罕见表现形式。
