Sharma O P
USC School of Medicine.
Sarcoidosis. 1991 Mar;8(1):10-3.
Although endemic along the Ohio and Mississippi River valleys in the United States, histoplasmosis may occur in many parts of the world. The multisystem involvement, the presence of non-caseating granulomas, and an elevated angiotensin converting enzyme in histoplasmosis cause diagnostic confusion with sarcoidosis. A careful epidemiologic history, serological tests, and tissue cultures are helpful in establishing the correct diagnosis.
组织胞浆菌病在美国沿俄亥俄河和密西西比河流域呈地方性流行，但在世界许多地区都可能发生。组织胞浆菌病的多系统受累、非干酪样肉芽肿的存在以及血管紧张素转换酶升高，会导致与结节病的诊断混淆。详细的流行病学病史、血清学检测和组织培养有助于做出正确诊断。
