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[结节病的甲状腺表现:一例报告]

[Thyroid manifestations of sarcoidosis: a case report].

作者信息

Lemerre D, Caron F, Delval O, Goujon J M, Hira M, Meurice J C, Patte F

机构信息

Service de Pneumologie, CHU Poitiers.

出版信息

Rev Pneumol Clin. 1999 Dec;55(6):393-6.

Abstract

Sarcoidosis is a systemic disease with many localizations. Thyroid involvement has been often described but rarely confirmed histologically. A common immune mechanism appears to be the cause. Thyroid sarcoidosis should be envisaged in patients with a thyroid nodule and mediastino-pulmonary involvement. We report the case of a 63-year-old woman with no past history who was hospitalized for dyspnea. Explorations evidenced a cold thyroid nodule associated with diffuse interstitial lung disease and mediastinal node enlargement. Pathology examination disclosed the sarcoid nature of the thyroid nodule and the lung lesions.

摘要

结节病是一种有多种局部表现的全身性疾病。甲状腺受累情况常有描述,但经组织学证实的却很少。一种常见的免疫机制似乎是其病因。对于有甲状腺结节且伴有纵隔-肺部受累的患者,应考虑甲状腺结节病。我们报告一例63岁无既往病史的女性患者,因呼吸困难入院。检查发现一个冷性甲状腺结节,伴有弥漫性间质性肺病和纵隔淋巴结肿大。病理检查揭示了甲状腺结节和肺部病变的结节病性质。

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