Primo S A
Emory School of Medicine, Department of Ophthalmology, Atlanta, Georgia.
Optom Clin. 1994;3(4):99-127.
The systemic conditions described in this paper are (1) sarcoidosis, (2) tuberculosis, (3) toxoplasmosis, and (4) histoplasmosis. The lung is the primary target organ of granulomatous involvement for each of these disorders. This and other similarities may confuse the diagnostic picture; however, appropriate understanding of clinical, epidemiologic, pathophysiologic, immunologic, radiologic, and serologic features assists in clearly establishing a diagnosis. The goals of this paper are to help the clinician develop a working knowledge of these four conditions, as well as an understanding of which tests are appropriate to order, how to interpret their results, and which treatment and management strategies to consider.
（1）结节病，（2）结核病，（3）弓形虫病，以及（4）组织胞浆菌病。肺部是这些疾病中每一种肉芽肿累及的主要靶器官。这种情况及其他相似之处可能会使诊断情况变得复杂；然而，对临床、流行病学、病理生理学、免疫学、放射学和血清学特征的恰当理解有助于明确诊断。本文的目的是帮助临床医生掌握这四种疾病的实用知识，以及了解应安排哪些检查、如何解读检查结果，以及应考虑哪些治疗和管理策略。
