Guleria Randeep, Mahashur Ashok, Ghoshal Aloke Gopal, Thomas Prasanna Kumar, Raghu Ganesh, Baughman Robert P
All India Institute of Medical Sciences, New Delhi 110029.
Sarcoidosis Vasc Diffuse Lung Dis. 2016 Dec 23;33(4):381-384.
Sarcoidosis is a chronic, systemic disease of unknown etiology that affects multiple organs. The disease was considered rare in developing countries like India. More recently sarcoidosis is being increasingly diagnosed in countries where tuberculosis continues to be endemic. There is a general perception among physicians that the prevalence of sarcoidosis has increased over the last two decades in countries like India. This may be true but could also be related to better awareness of the condition, availability of improved diagnostic facilities and the increased ability of physicians to differentiate it from tuberculosis. In India, diagnosis of tuberculosis is entertained first in patients who may have sarcoidosis and thus, it is very likely for sarcoidosis to be misdiagnosed as tuberculosis, owing to the high prevalence of tuberculosis and clinicoradiological resemblance to the disease. This editorial highlights the challenges in diagnosing tuberculosis in countries where tuberculosis still continues to be endemic.
结节病是一种病因不明的慢性全身性疾病，可累及多个器官。在印度等发展中国家，这种疾病曾被认为较为罕见。最近，在结核病仍然流行的国家，结节病的诊断越来越多。医生们普遍认为，在印度等国家，结节病的患病率在过去二十年中有所上升。这可能是事实，但也可能与对该病的认识提高、诊断设施的改善以及医生将其与结核病区分开来的能力增强有关。在印度，对于可能患有结节病的患者，首先会考虑结核病的诊断，因此，由于结核病的高患病率以及与该病在临床和放射学上的相似性，结节病很可能被误诊为结核病。这篇社论强调了在结核病仍然流行的国家诊断结核病所面临的挑战。
