Li S, Liu C
Department of Internal Medicine, Tianjin Thoracic Hospital, Tianjin 300051.
Zhonghua Jie He He Hu Xi Za Zhi. 1998 Feb;21(2):94-7.
To highlight the diagnosis and treatment of intrathoracic sarcoidosis.
The clinical and laboratory data of 35 cases of intrathoracic sarcoidosis in Tianjin thoracic hospital from 1991 to 1996 were reviewed. Tuberculin tests for 35 cases of sarcoidosis were carried out and the results were evaluated. Simultaneously, the results have been compared with that of literature published.
Of 35 cases of intrathoracic sarcoidosis 17 cases were tuberculin positive, 4 were strongly positive, positive tuberculin reactivity (60%) was significantly higher than that published.
The results showed a considerably higher tuberculin positive rate, which may be due to the difference of positive tuberculin reactivity in different country or regions, age of patients and expression of gamma delta T cell receptor. The authors suggested that "sarcoidosis should be diagnosed with negative tuberculis reastivity" has to be reconsidered.
强调胸内结节病的诊断与治疗。
回顾性分析1991年至1996年天津胸科医院收治的35例胸内结节病患者的临床及实验室资料。对35例结节病患者进行结核菌素试验并评估结果。同时，将结果与已发表的文献进行比较。
35例胸内结节病患者中，17例结核菌素试验阳性，4例强阳性，结核菌素反应阳性率（60%）显著高于已发表文献。
结果显示结核菌素阳性率相当高，这可能是由于不同国家或地区结核菌素反应阳性率的差异、患者年龄以及γδT细胞受体的表达不同所致。作者建议，“结节病应在结核菌素反应阴性时诊断”这一观点必须重新审视。
