Elsey R M, Fussell S
LSU School of Medicine, Baton Rouge.
J La State Med Soc. 1991 Oct;143(10):20-4.
Sarcoidosis is a systemic granulomatous disease of unknown etiology, most frequently involving the lungs, lymph nodes, spleen, liver, eyes and skin. Gastrointestinal sarcoidosis is uncommon, with rare histological documentation of noncaseating granulomas. Bone marrow sarcoidosis is also infrequent, and we are only aware of one case of documented gastric and bone marrow sarcoidosis in the same patient, which was diagnosed at autopsy. We herein report a case of endoscopic biopsy proven gastric sarcoidosis in a patient with systemic sarcoidosis with known hepatic and bone marrow involvement. To our knowledge this is the first description in a living patient of gastrointestinal and bone marrow involvement of systemic sarcoidosis.
结节病是一种病因不明的全身性肉芽肿性疾病，最常累及肺、淋巴结、脾脏、肝脏、眼睛和皮肤。胃肠道结节病并不常见，非干酪样肉芽肿的组织学记录很少。骨髓结节病也不常见，我们仅知晓同一患者同时发生胃和骨髓结节病的一例病例，该病例在尸检时被诊断。我们在此报告一例经内镜活检证实的胃结节病病例，该患者患有已知累及肝脏和骨髓的全身性结节病。据我们所知，这是首例关于全身性结节病累及胃肠道和骨髓的活体患者描述。
