Mañá J, Segarra M I, Casas R, Mairal L, Fernández-Nogués F
Department of Medicine, Hospital de Bellvitge, University of Barcelona, Spain.
J Rheumatol. 1993 Feb;20(2):394-6.
We describe a patient with right paratracheal and left hilar lymph nodes detected by chance on chest radiography that followed a spontaneous remission. However, a few months later she complained of multiple scalp nodules. Skull roentgenogram and computerized tomogram scan showed multiple osteolytic lesions with increased uptake in bone and gallium scans. Lytic lesions were also detected in her right mandibular bone and right clavicle. Noncaseating granulomas were demonstrated in skull and cervical lymph node biopsies.
我们描述了一名患者，其在胸部X线检查时偶然发现右气管旁和左肺门淋巴结，随后这些淋巴结自发缓解。然而，几个月后她出现了多个头皮结节。颅骨X线平片和计算机断层扫描显示多处溶骨性病变，骨扫描和镓扫描显示摄取增加。右下颌骨和右锁骨也发现了溶骨性病变。颅骨和颈部淋巴结活检显示为非干酪样肉芽肿。
