Caldwell J H, Evans W E
Am J Gastroenterol. 1978 Mar;69(3 Pt 1):320-2.
Clinically apparent pancreatic disease due to sarcoidosis has not been described in typical sarcoid patients. A few cases have been described at exploratory laparotomy and pancreatic involvement in autopsied cases is more common than generally appreciated. We report a patient not previously known to have sarcoidosis whose presentation with pruritus, eosinophilia and cholestatic serum chemistry suggested a reaction to phenothiazines. The correct diagnosis was made during surgery for an asymptomatic gallstone. No other evidence of pancreatic disease has become apparent during follow-ups of two years.
典型结节病患者中尚未见有临床表现明显的结节病性胰腺疾病。在剖腹探查时曾见有少数病例，而尸检病例中的胰腺受累情况比通常所认识到的更为常见。我们报告1例既往不知患有结节病的患者，其表现为瘙痒、嗜酸性粒细胞增多和胆汁淤积性血清化学改变，提示对吩噻嗪类药物的反应。在为无症状胆结石行手术时作出了正确诊断。在两年的随访期间未出现胰腺疾病的其他证据。
