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无胸内体征的眼部结节病诊断

[The diagnosis of ocular sarcoidosis without intrathoracic signs].

作者信息

Takenaka S

机构信息

Department of Internal Medicine, Kumamoto Municipal Hospital.

出版信息

Nihon Kyobu Shikkan Gakkai Zasshi. 1990 Jan;28(1):70-3.

PMID:2355690
Abstract

Since it is difficult to diagnose ocular sarcoidosis without intrathoracic signs we studied the ocular stage, broncho-alveolar lavage fluid (BALF) and transbronchial lung biopsy (TBLB). Our results showed that we can diagnose such patients as sarcoidosis when BALF lymphocytes are over 20%, the CD4+/CD8+ ratio is over 3.0 and alveolitis is noticed on TBLB. From this point of view, it may be that a diagnosis of clinical sarcoidosis without pathological diagnosis is possible.

摘要

由于在没有胸内体征的情况下很难诊断眼部结节病,我们研究了眼部阶段、支气管肺泡灌洗(BALF)和经支气管肺活检(TBLB)。我们的结果表明,当BALF淋巴细胞超过20%、CD4+/CD8+比值超过3.0且TBLB发现肺泡炎时,我们可以将此类患者诊断为结节病。从这个角度来看,可能无需病理诊断就能做出临床结节病的诊断。

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