眼部结节病诊断指南。
Guidelines for the diagnosis of ocular sarcoidosis.
作者信息
Asukata Yuri, Ishihara Mami, Hasumi Yukiko, Nakamura Satoshi, Hayashi Kiyofumi, Ohno Shigeaki, Mizuki Nobuhisa
机构信息
Department of Ophthalmology and Visual Science, Yokohama City University Graduate School of Medicine, Yokohama, Kanagawa, Japan.
出版信息
Ocul Immunol Inflamm. 2008 May-Jun;16(3):77-81. doi: 10.1080/09273940802051100.
PURPOSE
To delineate features of ocular sarcoidosis.
METHODS
Comparison of the old and new Japanese guidelines for diagnosing ocular sarcoidosis by review of the medical records of 100 sarcoidosis patients and 147 patients with non-sarcoidosis uveitis.
RESULTS
The overall diagnostic sensitivity and specificity for the old guidelines were 80.0% and 45.6%; sensitivity and specificity for the new guidelines were 84.0% and 83.0%. Positive and negative predictive values and the likelihood ratios for a positive and negative test result improved. The new guidelines achieved more than 80% specificity for all categories.
CONCLUSION
The new guidelines allow easier distinction of ocular sarcoidosis.
目的
描述眼部结节病的特征。
方法
通过回顾100例结节病患者和147例非结节病性葡萄膜炎患者的病历，比较日本诊断眼部结节病的新旧指南。
结果
旧指南的总体诊断敏感性和特异性分别为80.0%和45.6%；新指南的敏感性和特异性分别为84.0%和83.0%。阳性和阴性预测值以及阳性和阴性检测结果的似然比有所改善。新指南对所有类别均达到了80%以上的特异性。
结论
新指南使眼部结节病的鉴别更容易。
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