Fisher J, Muren O
South Med J. 1979 Mar;72(3):370-1. doi: 10.1097/00007611-197903000-00043.
Sarcoidosis has been characterized by a variety of clinical presentations ranging from complete lack of symptoms to incapacitating multisystem disease. Bilateral thoracic lymph node enlargement with or without pulmonary disease is the most common presentation. An elderly woman with eye pain, visual disturbance, nonproductive cough, and weight loss was found to have unilateral hilar enlargement on roentgenographic examination of the chest. An aggressive search for a neoplastic process disclosed only noncaseating granulomas consistent with sarcoidosis. The patient completely recovered on corticosteroid therapy alone.
结节病具有多种临床表现，从完全无症状到导致多系统功能丧失的疾病不等。双侧胸内淋巴结肿大伴或不伴肺部疾病是最常见的表现。一名老年女性，有眼痛、视力障碍、干咳和体重减轻症状，胸部X线检查发现单侧肺门肿大。积极排查肿瘤性病变，仅发现与结节病相符的非干酪样肉芽肿。该患者仅接受皮质类固醇治疗后完全康复。
