Warshauer D M, Dumbleton S A, Molina P L, Yankaskas B C, Parker L A, Woosley J T
Department of Radiology, University of North Carolina School of Medicine, Chapel Hill 27599-7510.
Radiology. 1994 Jul;192(1):93-8. doi: 10.1148/radiology.192.1.8208972.
To estimate the prevalence of abdominal computed tomographic (CT) findings in sarcoidosis and to correlate these findings with those at chest radiography, clinical status, and level of angiotensin converting enzyme (ACE).
Abdominal CT examinations in 59 patients with sarcoidosis were evaluated for adenopathy, liver and spleen size, and discrete lesions within the liver or spleen.
Extensive adenopathy was seen in 10% of patients. Marked hepatic and splenic enlargement was seen in 8% and 6%, respectively. Nodules were seen in the spleen in eight (15%) patients and in the liver in three (5%). Although liver size, spleen size, and adenopathy were directly related (P < .0001), the presence of nodules was not strongly related to organ size. Abdominal CT findings were related to clinical status and elevated ACE levels but not to chest radiographic stage.
Marked abdominal CT findings are uncommon in sarcoidosis and correlate with disease activity but not chest radiographic stage.
评估结节病患者腹部计算机断层扫描（CT）表现的患病率，并将这些表现与胸部X线摄影结果、临床状况及血管紧张素转换酶（ACE）水平进行关联分析。
对59例结节病患者的腹部CT检查结果进行评估，观察有无淋巴结肿大、肝脏和脾脏大小以及肝脾内的离散性病变。
10%的患者出现广泛淋巴结肿大。分别有8%和6%的患者出现明显肝脏和脾脏肿大。8例（15%）患者脾脏出现结节，3例（5%）患者肝脏出现结节。虽然肝脏大小、脾脏大小和淋巴结肿大直接相关（P <.0001），但结节的出现与器官大小无强烈关联。腹部CT表现与临床状况及ACE水平升高有关，但与胸部X线分期无关。
明显的腹部CT表现在结节病中并不常见，且与疾病活动相关，但与胸部X线分期无关。
