Pediatric Pulmonology unit, Advanced Pediatric Center, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Indian Pediatr. 2007 Aug;44(8):615-7.
Pulmonary manifestations of sarcoidosis are common and may be initially confused with other common diseases like tuberculosis. We report an 11 yr old girl who presented with chronic cough, low grade fever, recent exposure to tuberculosis and hilar lymphadenopathy. She was provisionally diagnosed as pulmonary tuberculosis and treated accordingly. As she had poor response to anti tubercular therapy, diagnosis was subsequently revised to sarcoidosis by lung biopsy. Treatment with steroids resulted in significant clinical improvement.
结节病的肺部表现较为常见，最初可能与其他常见疾病（如肺结核）相混淆。我们报告了一例 11 岁女孩，她表现为慢性咳嗽、低热、近期接触过肺结核患者和肺门淋巴结肿大。她被初步诊断为肺结核，并进行了相应的治疗。由于她对抗结核治疗的反应不佳，随后通过肺活检修正诊断为结节病。皮质类固醇治疗后，她的临床状况显著改善。
