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[神经结节病。关于2例病例的评论]

[Neurosarcoidosis. Comments on 2 cases].

作者信息

Vereş L, Mihăescu T

机构信息

Spitalul clinic de pneumoftiziologie, Iaşi.

出版信息

Rev Med Chir Soc Med Nat Iasi. 1990 Apr-Jun;94(2):421-4.

PMID:2100866
Abstract

Sarcoidosis can involve any tissue in the body and, consequently, the disease presents to clinicians of many different disciplines. We report two cases of sarcoidosis involvement of the nervous system: one male patient with right facial nerve palsy and a cutaneous involvement (supraorbital subcutaneous nodule) associated with bilateral hilar adenopathy; and a female patient presenting a hypothalamus involvement with diabetes insipidus, obesity, lethargy, sleep disturbances and amenorrhoea. In the later case an upper respiratory tract involvement was also present with nasal and tonsils sarcoidosis. A review of the clinical manifestations of neurosarcoidosis and the criteria for establishing the diagnosis is presented.

摘要

结节病可累及身体的任何组织,因此,该疾病会出现在许多不同学科的临床医生面前。我们报告两例结节病累及神经系统的病例:一例男性患者患有右侧面神经麻痹,伴有皮肤受累(眶上皮下结节)及双侧肺门淋巴结肿大;另一例女性患者表现为下丘脑受累,伴有尿崩症、肥胖、嗜睡、睡眠障碍和闭经。在后一例中,还存在上呼吸道受累,表现为鼻腔和扁桃体结节病。本文对神经结节病的临床表现及诊断标准进行了综述。

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