Wiener S N, Patel B P
Radiology. 1979 Mar;130(3):753-5. doi: 10.1148/130.3.753.
Bilateral accumulation of 67Ga-citrate by the parotid glands was observed in 9 of 27 patients (33%) with sarcoidosis and in a subgroup of 12 with systemic symptoms such as fever or clinically acute, progressive disease (75%). Asymptomatic patients or those with probable sarcoidosis associated with hilar and/or paratracheal adenopathy will not have parotid uptake. Similarly, uptake seldom occurs in normal patients or in those with untreated lymphoma or Hodgkin disease. If other inflammatory or granulomatous processes such as tuberculosis can be excluded, and if there is no history of head and neck irradiation, then this finding in acutely ill patients suggests sarcoidosis.
在27例结节病患者中，9例（33%）观察到双侧腮腺摄取67Ga-柠檬酸盐，在12例有发热等全身症状或临床急性、进行性疾病的亚组患者中，这一比例为75%。无症状患者或伴有肺门和/或气管旁淋巴结肿大的疑似结节病患者不会出现腮腺摄取。同样，正常患者或未经治疗的淋巴瘤或霍奇金病患者很少出现摄取。如果可以排除其他炎症或肉芽肿性疾病，如结核病，且无头颈部放疗史，那么急性病患者出现这一表现提示结节病。
