Judson Marc A, Vincent Brad, Huggins Terrill, Silvestri Gerard A, Sahn Steven A
Division of Pulmonary and Critical Care Medicine, Medical University of South Carolina, Charleston, South Carolina 29425, USA.
Semin Respir Crit Care Med. 2007 Feb;28(1):75-82. doi: 10.1055/s-2007-970334.
Sarcoidosis is a multisystem granulomatous disease that can affect any organ in the body, but most commonly the lung. Any part of the thorax may be affected by sarcoidosis, including the lung parenchyma, airways, and mediastinal and hilar lymph nodes. When the parenchyma is involved, sarcoidosis has a predilection for the bronchovascular bundles and subpleural locations. On occasion, the presentation of pulmonary sarcoidosis may be atypical. Atypical presentations may result in a delay in diagnosis as well as unnecessary treatment or diagnostic testing. We discuss four patients with an unusual presentation of thoracic sarcoidosis seen at our Sarcoidosis Clinic.
结节病是一种多系统肉芽肿性疾病，可累及身体的任何器官，但最常累及肺部。胸部的任何部位都可能受到结节病的影响，包括肺实质、气道以及纵隔和肺门淋巴结。当肺实质受累时，结节病易侵犯支气管血管束和胸膜下部位。偶尔，肺部结节病的表现可能不典型。不典型表现可能导致诊断延迟以及不必要的治疗或诊断检查。我们讨论了在我们结节病诊所见到的4例胸部结节病表现不寻常的患者。
