Opal S M, Pittman D L, Hofeldt F E
Am J Med. 1979 Jul;67(1):147-50. doi: 10.1016/0002-9343(79)90091-3.
A 20 year old black man presented with shortness of breath, hilar adenopathy, monoarticular arthritis, polydipsia and polyuria, and bilateral testicular masses. Transbronchial biopsy revealed noncaseating granulomas consistent with sarcoidosis. Subsequent work-up demonstrated hypothalamic dysfunction, and joint fluid analysis was consistent with sarcoid arthropathy. Concern over the possibility of a testicular neoplasm led to right testicular biopsy which revealed noncaseating granulomas consistent with testicular sarcoidosis. A short course of steroid therapy resulted in clinical improvement and complete resolution of the remaining left testicular mass.
一名20岁黑人男性出现呼吸急促、肺门淋巴结肿大、单关节炎、烦渴、多尿以及双侧睾丸肿块。经支气管活检显示符合结节病的非干酪样肉芽肿。后续检查发现下丘脑功能障碍，关节液分析符合结节病性关节病。由于担心睾丸肿瘤的可能性，遂进行右侧睾丸活检，结果显示符合睾丸结节病的非干酪样肉芽肿。短期的类固醇治疗使临床症状改善，剩余的左侧睾丸肿块完全消退。
