Takahashi N, Horie T
First Department of Internal Medicine, Nihon University School of edicine.
Nihon Rinsho. 1994 Jun;52(6):1629-32.
The Heerfordt syndrome is characterized by fever, uveitis, swelling of parotid gland and facial nerve palsy, and 39 cases have been reported in Japan until 1993'. In the present review, we mainly focused on those clinical cases reported. Most patients were between 20 and 40 years of age, and females appeared to have greater risk than males. The definite diagnosis of this syndrome is established histologically according to sarcoidosis. In addition 67 gallium scan is helpful for diagnosis, and it shows increased uptake of Ga to the ophthal lesions, parotid glands and hilar lesions. Therapeutic trial with prednisolone is sometimes required especially for facial palsy.
黑尔福特综合征的特征为发热、葡萄膜炎、腮腺肿大及面神经麻痹，截至1993年，日本已报告39例 。在本综述中，我们主要关注所报告的这些临床病例。大多数患者年龄在20至40岁之间，女性似乎比男性患病风险更高。根据结节病，通过组织学检查可明确诊断该综合征。此外，镓扫描有助于诊断，它显示眼部病变、腮腺及肺门病变部位对镓的摄取增加。有时需要使用泼尼松龙进行治疗试验，尤其是针对面神经麻痹的情况。
