Gerlach J
Zentralbl Allg Pathol. 1982;126(3-4):223-8.
By means of a statistic examination of the autopsy material, the frequency of clinically unrecognized tuberculosis of the years 1951-1957 was compared with the cases of the years 1964-1970. In inactive and active pulmonary tuberculosis the clinically unrecognized cases decreased with high statistic significance. In extrapulmonary and miliary tuberculosis this tendency could not be confirmed, the clinically unrecognized cases relatively increased somewhat. All the cases of tuberculosis in combination with silicosis were clinically recognized. The high percentage of clinically unrecognized cases of extrapulmonary and miliary tuberculosis points to the fact, that this disease must be included in the differential diagnosis of obscure symptoms, especially in the elderly.
通过对尸检材料进行统计学检查,将1951 - 1957年临床未识别的结核病发生率与1964 - 1970年的病例进行了比较。在非活动性和活动性肺结核中,临床未识别的病例显著减少,具有高度统计学意义。在肺外结核和粟粒性结核中,这种趋势未能得到证实,临床未识别的病例相对略有增加。所有合并矽肺的结核病例在临床上均被识别。肺外结核和粟粒性结核临床未识别病例的高比例表明,这种疾病必须纳入不明症状的鉴别诊断中,尤其是在老年人中。