Albu E, Saraiya R J, Carvajal S J, Sehonanda A, Balar N, Gerst P H
Department of Surgery, Bronx-Lebanon Hospital Center, NY 10457, USA.
Am Surg. 1995 Jun;61(6):516-7.
Sarcoidosis is an uncommon disorder characterized by a multi-systemic granulomatous disease of undetermined etiology and pathogenesis. The diagnosis is established by the presence of a compatible clinical illness and by histologic demonstration of noncaseating epithelioid cell granulomas in the affected organs. Accurate diagnosis requires a thorough evaluation to exclude infectious and neoplastic diseases that can mimic sarcoidosis. Although all organs and systems can be affected, the lungs and intrathoracic lymph glands are the most common sites of involvement. We describe an unusual case of extrapulmonary sarcoidosis presenting as obstructive jaundice.
结节病是一种罕见的疾病，其特征为病因和发病机制不明的多系统肉芽肿性疾病。诊断依据为存在相符的临床病症以及在受累器官中通过组织学证实非干酪样上皮样细胞肉芽肿。准确诊断需要进行全面评估以排除可模仿结节病的感染性和肿瘤性疾病。尽管所有器官和系统均可受累，但肺和胸内淋巴结是最常受累的部位。我们描述了一例表现为梗阻性黄疸的肺外结节病罕见病例。
