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[儿童结节病:两例的眼科表现及诊断困难]

[Childhood sarcoidosis: ophthalmological manifestations and diagnostic difficulties in two cases].

作者信息

El Hansali Z, Oukabli M, Laktaoui A, Kriet M, Oubaaz A, Chana H

机构信息

Service d'ophtalmologie, hôpital militaire d'instruction Mohamed V, BP 1018, Hay Riad, Rabat, Maroc.

出版信息

J Fr Ophtalmol. 2012 Apr;35(4):290.e1-5. doi: 10.1016/j.jfo.2011.07.007. Epub 2011 Sep 1.

Abstract

Sarcoidosis is a systemic expression of granuloma found in young adults, but which remains rare in children. Its incidence is underestimated because of the asymptomatic forms. Ocular involvement is present in 25% of the cases. The diagnosis is sometimes difficult and is based on clinical, radiological, and biological arguments and is confirmed by histopathological examination. The authors report the observations of two children, aged 5 and 10 years, discussing the diagnostic difficulty and most particularly, the differential diagnosis with tuberculosis, thereby illustrating the two forms of pediatric sarcoidosis.

摘要

结节病是一种在年轻人中发现的肉芽肿性全身表现,但在儿童中仍然罕见。由于其无症状形式,其发病率被低估。25%的病例存在眼部受累。诊断有时很困难,基于临床、放射学和生物学依据,并通过组织病理学检查得以证实。作者报告了两名分别为5岁和10岁儿童的病例观察,讨论了诊断困难,尤其是与结核病的鉴别诊断,从而阐述了儿童结节病的两种形式。

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