Milton C M
Clin Otolaryngol Allied Sci. 1985 Dec;10(6):351-5. doi: 10.1111/j.1365-2273.1985.tb00268.x.
Thirteen cases of sarcoidosis were seen at the Royal National Throat, Nose and Ear Hospital and St George's Hospital, Tooting, between 1963 and 1984 inclusive. In only 5 patients had a diagnosis of sarcoidosis been made prior to attendance. In the remaining 8 patients, there was a considerable delay in making a diagnosis in those cases with predominantly nasal symptoms, ranging from 8 to 18 months. Several patients with nasal sarcoidosis had evidence of systemic disease on investigation, but did not receive appropriate treatment early in the course of their disease because of the delay in initial diagnosis. Both the ENT surgeon and the general practitioner must be aware that symptoms of nasal obstruction, rhinorrhea and crusting are not always due to an allergic or vasomotor rhinitis, and granulomatous conditions should always be considered in the differential diagnosis of patients with these symptoms.
1963年至1984年期间，在皇家国立咽喉、鼻耳医院以及图廷的圣乔治医院共诊治了13例结节病患者。其中仅有5例患者在就诊前已确诊为结节病。其余8例患者中，以鼻部症状为主的病例在诊断上出现了相当长的延迟，延迟时间从8个月至18个月不等。数例鼻结节病患者经检查有全身疾病的证据，但由于初始诊断延迟，在疾病早期未得到适当治疗。耳鼻喉科外科医生和全科医生都必须意识到，鼻塞、鼻溢液和结痂症状并不总是由变应性或血管运动性鼻炎引起的，在对有这些症状的患者进行鉴别诊断时，应始终考虑肉芽肿性疾病。
