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小儿结节病鉴别诊断中的高回声淋巴结

Echogenic lymph nodes in the differential diagnosis of pediatric sarcoidosis.

作者信息

Bayramoglu Zuhal, Adaletli Ibrahim, Kara Ezgi, Acar Manolya, Hancerli Torun Selda, Kaba Ozge, Somer Ayper, Yegen Gulcin, Bagbudar Sidar, Eker Omeroglu Rukiye

机构信息

Radiology Department, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey.

Pediatric Infectious Disease Department, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey.

出版信息

J Med Ultrason (2001). 2019 Apr;46(2):277-281. doi: 10.1007/s10396-019-00932-8. Epub 2019 Feb 8.

DOI:10.1007/s10396-019-00932-8
PMID:30737604
Abstract

We present a delayed diagnosis of sarcoidosis in an 11-year-old girl by demonstrating ultrasonographic imaging findings of granulomatous cervical and abdominal lymph node involvement. Pulmonary interstitial fibrosis in addition to multi-compartmental enlarged echogenic lymph nodes could be considered sarcoidosis. Punctate echogenic foci in the cervical lymph nodes should be considered in the differential diagnosis of sarcoidosis.

摘要

我们通过展示肉芽肿性颈部和腹部淋巴结受累的超声成像结果,呈现了一名11岁女孩结节病的延迟诊断。除多部位增大的高回声淋巴结外,肺间质纤维化也可考虑为结节病。颈部淋巴结中的点状高回声灶应在结节病的鉴别诊断中予以考虑。

相似文献

1
Echogenic lymph nodes in the differential diagnosis of pediatric sarcoidosis.小儿结节病鉴别诊断中的高回声淋巴结
J Med Ultrason (2001). 2019 Apr;46(2):277-281. doi: 10.1007/s10396-019-00932-8. Epub 2019 Feb 8.
2
Radiological manifestations of sarcoidosis.结节病的放射学表现。
Clin Dermatol. 2007 May-Jun;25(3):312-25. doi: 10.1016/j.clindermatol.2007.03.009.
3
Unilateral pulmonary changes in the chest X-ray in sarcoidosis.结节病胸部X光片上的单侧肺部改变。
Clin Radiol. 1981 May;32(3):283-7. doi: 10.1016/s0009-9260(81)80040-2.
4
[Hydronephrosis caused by enlarged retroperitoneal lymph nodes in sarcoidosis].[结节病中腹膜后淋巴结肿大所致肾积水]
Dtsch Med Wochenschr. 1987 Oct 9;112(41):1583-5. doi: 10.1055/s-2008-1068296.
5
The pattern and distribution of calcified mediastinal lymph nodes in sarcoidosis and tuberculosis: a CT study.结节病和结核病中纵隔钙化淋巴结的模式与分布:一项CT研究
Clin Radiol. 1996 Apr;51(4):263-7. doi: 10.1016/s0009-9260(96)80343-6.
6
Gastrointestinal case of the day. Sarcoidosis with involvement of liver, spleen, abdominal and thoracic lymph nodes, and lungs.今日胃肠病例。结节病累及肝脏、脾脏、腹部及胸部淋巴结和肺部。
AJR Am J Roentgenol. 1996 Jul;167(1):241, 245. doi: 10.2214/ajr.167.1.8659385.
7
A patient with sarcoidosis who developed heterochronic involvements in different organs from initial organs during 7 years.一名结节病患者在7年期间出现了与初始受累器官不同的异时性多器官受累。
Respir Investig. 2014 Jan;52(1):71-4. doi: 10.1016/j.resinv.2013.05.003. Epub 2013 Jun 30.
8
[Conventional diagnosis of lymphadenopathies--value of conventional roentgen examination and supplementation of other imaging technics].[淋巴结病的传统诊断——传统X线检查及其他成像技术补充的价值]
Rontgenblatter. 1983 Jan;36(1):30-44.
9
[Computed tomography in the diagnosis of intrathoracic lymphadenopathies].[计算机断层扫描在胸内淋巴结病诊断中的应用]
Klin Med (Mosk). 1986 Aug;64(8):64-71.
10
Diagnosis of Sarcoidosis.结节病的诊断。
Clin Rev Allergy Immunol. 2015 Aug;49(1):54-62. doi: 10.1007/s12016-015-8475-x.

本文引用的文献

1
Diagnostic utility of endobronchial ultrasound features in differentiating malignant and benign lymph nodes.支气管内超声特征在鉴别恶性和良性淋巴结中的诊断效用
Monaldi Arch Chest Dis. 2018 Jun 25;88(2):928. doi: 10.4081/monaldi.2018.928.
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High frequency ultrasound: a novel instrument to quantify granuloma burden in cutaneous sarcoidosis.高频超声:一种量化皮肤结节病中肉芽肿负荷的新型仪器。
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Sonographic Features of Endobronchial Ultrasound in Differentiation of Benign Lymph Nodes.
支气管内超声在鉴别良性淋巴结中的超声特征
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Pathology of Sarcoidosis.结节病的病理学。
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Lymph node characteristics of sarcoidosis with endobronchial ultrasound.支气管内超声检查的结节病淋巴结特征。
Endosc Ultrasound. 2014 Oct;3(4):232-7. doi: 10.4103/2303-9027.144541.
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Can endoscopic ultrasound distinguish between mediastinal benign lymph nodes and those involved by sarcoidosis, lymphoma, or metastasis?内镜超声能否区分纵隔良性淋巴结与结节病、淋巴瘤或转移累及的淋巴结?
Dig Dis Sci. 2014 Sep;59(9):2191-8. doi: 10.1007/s10620-014-3164-9. Epub 2014 May 7.
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Differentiating tuberculosis from sarcoidosis by sonographic characteristics of lymph nodes on endobronchial ultrasonography: a study of 165 patients.经支气管超声内镜下淋巴结的超声特征鉴别结核与结节病:一项 165 例患者的研究。
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Echoic features of lymph nodes with sarcoidosis determined by endobronchial ultrasound.经支气管超声测定的结节病淋巴结的回声特征
Intern Med. 2013;52(13):1473-8. doi: 10.2169/internalmedicine.52.9082. Epub 2013 Jul 1.
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Bilateral parotitis as the initial presentation of childhood sarcoidosis.双侧腮腺炎为儿童结节病的首发表现。
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