Garret M, Sicard D, Péquignot H, Christoforov B, Laroche C, Boissonnas A, Marsac J, Amor B, Menkes C
Ann Med Interne (Paris). 1984;135(2):133-8.
An analysis of 80 cases of sarcoidosis admitted to the departments of respiratory medicine (36), rheumatology (19) and internal medicine (25) over a 7 year period, revealed a wide range of clinical presentations; there was a higher incidence of associated disease and a greater number of localisations of the disease in patients admitted to the department of internal medicine than in those admitted to the other two departments. On the other hand, bronchial biopsy was more commonly positive in patients admitted to the department of respiratory medicine whose respiratory function was more disturbed than the patients in the other two departments. The patients referred to the departments of rheumatology and internal medicine without radiological respiratory involvement had respiratory function tests and positive alveolar lavages. The prognosis was the same in all three departments; 50 p. 100 were treated with steroids. The recruitment of the patients in this series allows a different evaluation of the disease compared to series reported from more specialised departments.
对7年间呼吸内科(36例)、风湿病科(19例)和内科(25例)收治的80例结节病患者进行分析,发现临床表现多种多样;内科收治患者的相关疾病发生率更高,疾病的定位更多,高于其他两个科室收治的患者。另一方面,呼吸内科收治的患者支气管活检阳性更为常见,其呼吸功能比其他两个科室的患者受到的干扰更大。转诊至风湿病科和内科且无放射性呼吸受累的患者进行了呼吸功能测试,肺泡灌洗呈阳性。三个科室的预后相同;100例中有50例接受了类固醇治疗。与来自更专业科室报告的系列病例相比,本系列病例的招募情况对该疾病有不同的评估。