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结节病:仍是一个谜团?

Sarcoidosis: still a mystery?

作者信息

Pierce T B, Margolis M, Razzuk M A

机构信息

The University of North Texas Health Science Center, Ft. Worth, Texas, USA.

出版信息

Proc (Bayl Univ Med Cent). 2001 Jan;14(1):8-12. doi: 10.1080/08998280.2001.11927724.

DOI:10.1080/08998280.2001.11927724
PMID:16369580
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1291305/
Abstract

Sarcoidosis is a systemic granulomatous disease of unknown etiology. It has diverse clinical manifestations, most frequently including pulmonary disorders. It is associated with immunological abnormalities, the intricacies of which have yet to be clearly delineated. In the immunologically susceptible individual, genetic, environmental, nutritional, and socioeconomic factors may play a governing role in its development. Sarcoidosis is a diagnosis of exclusion established by clinical manifestations, radiologic findings, and histologic evidence of noncaseating epithelioid-cell granulomas in >1 organ. We will discuss parameters that are helpful in making this diagnosis.

摘要

结节病是一种病因不明的全身性肉芽肿性疾病。它有多种临床表现,最常见的包括肺部疾病。它与免疫异常有关,其复杂情况尚未完全明确。在免疫易感个体中,遗传、环境、营养和社会经济因素可能在其发病过程中起主导作用。结节病是一种排除性诊断,通过临床表现、影像学检查结果以及一个以上器官出现非干酪样上皮样细胞肉芽肿的组织学证据来确立。我们将讨论有助于做出这一诊断的参数。

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本文引用的文献

1
Correlation of CD4:CD8 ratio and tumour necrosis factor (TNF)alpha levels in induced sputum with bronchoalveolar lavage fluid in pulmonary sarcoidosis.结节病患者诱导痰与支气管肺泡灌洗液中CD4:CD8比值及肿瘤坏死因子α水平的相关性
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Interleukin-10 secretion by alveolar macrophages and monocytes in sarcoidosis.结节病中肺泡巨噬细胞和单核细胞分泌白细胞介素-10
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3
[Heart failure as a cardiac symptom of sarcoidosis. Successful treatment of heart failure with steroids, digitalis and an angiotensin-1-receptor antagonist in sarcoidosis].[心力衰竭作为结节病的心脏症状。在结节病中使用类固醇、洋地黄和血管紧张素-1受体拮抗剂成功治疗心力衰竭]
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[Neurologic forms of sarcoidosis].[结节病的神经学表现形式]
Presse Med. 2000 Feb 19;29(6):327-31.
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The nasal manifestations of sarcoidosis: a review and report of eight cases.结节病的鼻部表现:八例病例回顾与报告
J Laryngol Otol. 1999 Oct;113(10):893-8. doi: 10.1017/s0022215100145529.
6
Vertebral and rib sarcoidosis: long-term clinical remission with methotrexate.脊椎和肋骨结节病:甲氨蝶呤治疗实现长期临床缓解
Clin Rheumatol. 1999;18(6):492-4. doi: 10.1007/s100670050145.
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[Sarcoidosis and pregnancy].[结节病与妊娠]
Rev Pneumol Clin. 1999 Oct;55(5):335-7.
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Treatment of subcutaneous sarcoidosis with allopurinol.用别嘌呤醇治疗皮下结节病。
Arch Dermatol. 1999 Dec;135(12):1560-1. doi: 10.1001/archderm.135.12.1560.
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Treatment of chronic sarcoidosis with an azathioprine/prednisolone regimen.
Eur Respir J. 1999 Nov;14(5):1117-22. doi: 10.1183/09031936.99.14511179.
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Radiation therapy for neurosarcoidosis: report of three cases from a single institution.神经结节病的放射治疗:来自单一机构的三例报告。
Radiat Oncol Investig. 1999;7(5):309-12. doi: 10.1002/(SICI)1520-6823(1999)7:5<309::AID-ROI6>3.0.CO;2-W.