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[结节病中腹膜后淋巴结肿大所致肾积水]

[Hydronephrosis caused by enlarged retroperitoneal lymph nodes in sarcoidosis].

作者信息

Seidemann W

机构信息

Kreiskrankenhaus Diekholzen, Klinik für Pneumologie.

出版信息

Dtsch Med Wochenschr. 1987 Oct 9;112(41):1583-5. doi: 10.1055/s-2008-1068296.

Abstract

The diagnosis of sarcoidosis was made in a 40-year-old man when, in addition to enlarged mediastinal and hilar lymph nodes (sarcoidosis I), he also had peripheral lymph node enlargement. Pulmonary infiltrations (sarcoidosis II) developed subsequently. Three years after diagnosis pulmonary symptoms first became manifest, at the same time as pain in the kidney region. The urogram revealed hydronephrosis caused by enlarged retroperitoneal lymph nodes (CT scan). After treatment with corticosteroids the urogram was normal.

摘要

一名40岁男性被诊断为结节病,当时除纵隔和肺门淋巴结肿大(结节病I期)外,他还出现了外周淋巴结肿大。随后出现了肺部浸润(结节病II期)。诊断三年后,肺部症状首次出现,同时伴有肾区疼痛。尿路造影显示由腹膜后淋巴结肿大(CT扫描)引起的肾积水。使用皮质类固醇治疗后,尿路造影恢复正常。

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