Selroos O, Niemistö M
Scand J Respir Dis. 1977;58(1):57-62.
A report is presented on 11 patients with histologically confirmed nasal sarcoidosis, including one case with very large nasal polypi. The most frequent symptom was obstruction of the nose followed by dryness and crusting. Thickening of the nasal mucosa was the most frequent finding. Yellowish dots were observed in four patients, and polypi in two. In one patient, a granulomatous maxillary sinusitis was diagnosed. Cutaneous sarcoidosis was found in only one patient. Nine of the patients had noted their nasal symptoms during the early phase of the disease. The response to treatment with corticosteroids is discussed. It seems that an enquiry about nasal symptoms and examination of the nasal cavity are valuable even in patients with early sarcoidosis.
本文报告了11例经组织学确诊的鼻结节病患者,其中1例有非常大的鼻息肉。最常见的症状是鼻塞,其次是干燥和结痂。鼻黏膜增厚是最常见的表现。4例患者观察到淡黄色斑点,2例有息肉。1例患者被诊断为肉芽肿性上颌窦炎。仅1例患者发现皮肤结节病。9例患者在疾病早期就注意到了鼻部症状。文中讨论了皮质类固醇治疗的反应。即使在结节病早期患者中,询问鼻部症状和检查鼻腔似乎也很有价值。