结核病流行地区的结节病：印度

Vittala International Institute of Ophthalmology, Hosakerehalli, Bangalore, Karnataka, 560085, India.

J Ophthalmic Inflamm Infect. 2013 Jun 27;3(1):53. doi: 10.1186/1869-5760-3-53.

Sarcoidosis is a multisystem inflammatory disease of unknown etiology affecting multiple organs. Earlier reports suggested that sarcoidosis was a disease of the developed world. However, recent reports suggest that the disease is found in the developing countries as well. Clinical, radiological, and histopathological similarities with tuberculosis pose a great challenge in countries endemic for tuberculosis. Mantoux test, high resolution computed tomography, and transbronchial lymph node and lung biopsies are diagnostic modalities, which play an important role in the diagnosis of sarcoid. In this review, we look at the epidemiology of sarcoid in tuberculosis-endemic regions, the sarcoidosis-tuberculosis link, clinical profile, diagnostic modalities, dilemma in the diagnosis, and the treatment of this disease.

结节病是一种病因不明的多系统炎症性疾病，可累及多个器官。早期报告表明结节病是发达国家的疾病。然而，最近的报告显示，发展中国家也发现了这种疾病。在结核病流行的国家，结节病与结核病在临床、放射学和组织病理学上的相似性带来了巨大挑战。结核菌素试验、高分辨率计算机断层扫描以及经支气管淋巴结和肺活检是诊断方法，在结节病的诊断中发挥着重要作用。在这篇综述中，我们探讨了结核病流行地区结节病的流行病学、结节病与结核病的关联、临床特征、诊断方法、诊断困境以及该疾病的治疗。