Dubrey Simon, Sharma Rakesh, Underwood Richard, Mittal Tarun, Wells Athol
Department of Cardiology, Hillingdon Hospital, Uxbridge, UK
Department of Cardiology, Royal Brompton Hospital, London, UK.
Clin Med (Lond). 2016 Feb;16(1):34-41. doi: 10.7861/clinmedicine.16-1-34.
Sarcoidosis is a multi-system disease with a wide range of phenotypes. Pulmonary involvement is the most frequently identified target for sarcoidosis and is responsible for the majority of deaths. Cardiac sarcoid is less commonly identified, may be occult, is significantly influenced by race, and can portend an unpredictable and sometimes fatal outcome. Sarcoidosis remains an enigmatic disease spectrum of unknown aetiology, frequently difficult to diagnose and with a variable disease course. This article summarises current views on the diagnosis and management of cardiopulmonary involvement.
结节病是一种具有广泛表型的多系统疾病。肺部受累是结节病最常累及的部位,也是导致大多数死亡的原因。心脏结节病较少见,可能隐匿,受种族影响显著,且可能预示不可预测的、有时甚至是致命的后果。结节病仍然是一种病因不明的神秘疾病谱,常常难以诊断,病程也各不相同。本文总结了目前关于心肺受累的诊断和管理的观点。