Wilson D A, Nguyen D L, Tytle T L, Swaney C M, Muchmore H G
J Ultrasound Med. 1986 Feb;5(2):69-73. doi: 10.7863/jum.1986.5.2.69.
In this retrospective study, the findings on abdominal sonograms in six patients newly diagnosed as having chronic disseminated histoplasmosis are reported. Five of six patients showed bilateral adrenal gland enlargement that was similar in degree from side to side. The most characteristic feature was the maintenance of a triangular shape in five glands and a cylindrical shape in two glands. Four glands had a nonspecific round or oval shape. All sonographic findings correlated well with the computed tomographic (CT) findings on each patient except that CT detected the one enlarged right adrenal gland not demonstrated sonographically. Abdominal sonography may provide the initial important clue to the diagnosis of chronic disseminated histoplasmosis.
在这项回顾性研究中，报告了6例新诊断为慢性播散性组织胞浆菌病患者的腹部超声检查结果。6例患者中有5例双侧肾上腺增大，两侧程度相似。最具特征性的表现是5个肾上腺保持三角形，2个肾上腺呈圆柱形。4个肾上腺呈非特异性圆形或椭圆形。除CT检测到1例超声未显示的右侧肾上腺增大外，所有超声检查结果与每位患者的计算机断层扫描（CT）结果均高度相关。腹部超声检查可能为慢性播散性组织胞浆菌病的诊断提供重要的初步线索。
