结节病的克维姆试验。
The Kveim test in sarcoidosis.
作者信息
Mikhail J R, Mitchell D N
出版信息
Postgrad Med J. 1970 Aug;46(538):484-5. doi: 10.1136/pgmj.46.538.484.
The Kveim test with a validated test-suspension was found to give an overall 71·9% positive result. A very high figure was obtained among patients with hilar or paratracheal gland involvement. Despite our enumeration of the difficulties and drawbacks inherent in Kveim testing, we find that this is a valuable test, providing one is aware of the pitfalls. Despite the finding of positive tests in conditions other than sarcoidosis, these are unlikely in practice to present a clinical problem in the differential diagnosis of suspected sarcoidosis. A microscopically positive test, therefore, remains clinically valuable. The test is also of very considerable importance in the clinical research into aetiology and pathogenesis of sarcoidosis.
使用经过验证的试验悬液进行的克维姆试验结果显示，总体阳性率为71.9%。在肺门或气管旁淋巴结受累的患者中得到了非常高的阳性率。尽管我们列举了克维姆试验固有的困难和缺点，但我们发现，如果了解其中的陷阱，这仍是一项有价值的试验。尽管在结节病以外的疾病中也发现了阳性试验结果，但在实际中这些不太可能在疑似结节病的鉴别诊断中造成临床问题。因此，显微镜下呈阳性的试验在临床上仍然具有价值。该试验在结节病病因和发病机制的临床研究中也非常重要。
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