Schamberger R, Jonas M, Barenbrock M, Sciuk J, Schober O
Klinik und Poliklinik für Nuklearmedizin, Westfälischen Wilhelms-Universität Münster, FRG.
Nuklearmedizin. 1995 Feb;34(1):47-9.
Sarcoidosis is a chronic multisystem disorder of unknown etiology characterized by non-caseating epitheloid granulomas. We report a case of a 29-year old female with acute sarcoidosis and Heerfordt's syndrome (parotid enlargement, anterior uveitis and facial nerve palsy) who had a typical clinical constellation but no histologic criteria of a granulomatous inflammatory process in transbronchial lung biopsy. 67Ga scintigraphy revealed such a typical pattern of accumulation that sarcoidosis could be diagnosed despite negative histological findings.
结节病是一种病因不明的慢性多系统疾病，其特征为非干酪样上皮样肉芽肿。我们报告一例29岁女性急性结节病合并Heerfordt综合征（腮腺肿大、前葡萄膜炎和面神经麻痹），该患者有典型的临床症状，但经支气管肺活检未发现肉芽肿性炎症过程的组织学标准。67Ga闪烁扫描显示出如此典型的积聚模式，尽管组织学检查结果为阴性，但仍可诊断为结节病。
