Department of Ophthalmology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Eye (Lond). 2010 Nov;24(11):1669-74. doi: 10.1038/eye.2010.107. Epub 2010 Aug 6.
To determine the prevalence of pulmonary sarcoidosis in patients with uveitis from the University Referral Centre in Thailand and to report on their clinical characteristics.
We performed a retrospective review of results of radiological examinations of 209 consecutive new patients, diagnosed with uveitis. In patients with signs of pulmonary sarcoidosis, we reviewed clinical characteristics including age, gender, laterality and anatomical location of uveitis, and complications.
From 209 chest X-ray (CXR) examinations, one patient exhibited radiological signs typical of stage 1 sarcoidosis. Chest CT of three patients with posterior multifocal chorioretinitis (PMC) revealed abnormalities suggesting the diagnosis of pulmonary sarcoidosis. All PMC patients were females older than 50 years; they had no pulmonary complaints and their CXRs were without abnormalities.
Ocular sarcoidosis is prevalent in Thailand and our findings suggest that possibly more patients with sarcoidosis would be identified if diagnosis was thought of and ancillary tests were performed.
确定在泰国转诊中心就诊的葡萄膜炎患者中肺结节病的患病率,并报告其临床特征。
我们对 209 例新诊断的葡萄膜炎患者的放射学检查结果进行了回顾性分析。在有肺结节病迹象的患者中,我们回顾了临床特征,包括年龄、性别、葡萄膜炎的侧别和解剖部位,以及并发症。
在 209 例胸部 X 线(CXR)检查中,1 例患者出现了 1 期结节病的典型放射学征象。3 例后多发性脉络膜炎(PMC)患者的胸部 CT 显示异常,提示诊断为肺结节病。所有 PMC 患者均为年龄大于 50 岁的女性;她们没有肺部症状,CXR 无异常。
眼部结节病在泰国很常见,我们的研究结果表明,如果考虑到诊断并进行辅助检查,可能会发现更多的结节病患者。