Jackson H
Postgrad Med J. 1970 Aug;46(538):501-4. doi: 10.1136/pgmj.46.538.501.
In 5529 new patients attending eye clinics 0·8% of patients were found to have endogenous uveitis. None had radiographic evidence of sarcoidosis. Of thirty-four who had a Mantoux test 56% were negative. A Kveim test done on twenty-four of the cases revealed that 12·5% were positive, and in two of these histological evidence of sarcoidosis was found. Eighty-two patients with multisystem sarcoidosis were similarly investigated and in addition their lachrymal secretion was measured. Of these twelve (14·6%) had an ocular lesion, six having bilateral uveitis, two unilateral uveitis and four lachrymal gland enlargement. 58% of these cases were found to have reduced lachrymal secretion. In addition fifty-seven of these patients without ocular abnormality had their lachrymal secretion measured and 49% of these were found to have reduced lachrymal secretion.
在5529名到眼科门诊就诊的新患者中,发现0.8%的患者患有内因性葡萄膜炎。无一例有结节病的影像学证据。在接受结核菌素试验的34名患者中,56%呈阴性。对其中24例进行的Kveim试验显示,12.5%呈阳性,其中2例发现有结节病的组织学证据。对82例多系统结节病患者进行了类似的检查,此外还测量了他们的泪液分泌。其中12例(14.6%)有眼部病变,6例为双侧葡萄膜炎,2例为单侧葡萄膜炎,4例为泪腺肿大。发现这些病例中有58%的泪液分泌减少。此外,对其中57例无眼部异常的患者进行了泪液分泌测量,发现其中49%的患者泪液分泌减少。