Huang Wen-jie, Li Wei-feng, Xu Hong, Fang Yi, Li Zhi-bin
Department of Respiratory, Guangzhou General Hospital of Guangzhou Command, Guangzhou 510010, China.
Di Yi Jun Yi Da Xue Xue Bao. 2003 May;23(5):430, 434.
To facilitate the diagnosis and treatment of pulmonary sarcoidosis.
The clinical data of 15 cases of pulmonary sarcoidosis were retrospectively analyzed.
Among these patients, 7 were identified with respiratory symptoms as the initial clinical representations, and 6 patients initially presented extrapulmonary symptoms, with 2 patients having no discomfort. Chest X-ray and lung CT scan results of 13 cases showed symmetrical lymph node enlargement in the bilateral lung hilus and mediastinum. Twelve patients had increased serum angiotensin-converting enzyme levels, and 10 had increased erythrocyte sedimentation rate, with only 1 case showing positive result in purified protein derivative skin test.
Pulmonary sarcoidosis has atypical clinical symptoms, and the diagnosis should be reached by a careful evaluation of the clinical representations in conjunction with X-ray, CT, and laboratory test results.
促进肺结节病的诊断与治疗。
回顾性分析15例肺结节病患者的临床资料。
这些患者中,7例以呼吸道症状为首发临床表现,6例最初表现为肺外症状,2例无不适。13例患者的胸部X线和肺部CT扫描结果显示双侧肺门和纵隔淋巴结对称性肿大。12例患者血清血管紧张素转换酶水平升高,10例红细胞沉降率升高,仅1例结核菌素皮肤试验呈阳性。
肺结节病临床症状不典型,应结合X线、CT及实验室检查结果,仔细评估临床表现以作出诊断。