Winck J C, Delgado L, Shiang T, Carvalho A, Rodrigues F F
Dept of Pneumology, Centro Hospitalar de V.N. Gaia, Portugal.
Monaldi Arch Chest Dis. 1996 Apr;51(2):120-2.
The association of sarcoidosis and tuberculosis is rare and, its differentiation is sometimes very difficult. We report the case of a young man who presented with type III sarcoidosis complicated by pulmonary tuberculosis within 17 months of the diagnosis, leading to a fatal outcome. A change in antimycobacterial antigen complex A60 immunoglobulin G (IgG) titres, as seen in our case, may be helpful in differentiating between the two diseases.
结节病与结核病的关联较为罕见,且有时很难鉴别。我们报告了一例年轻男性病例,该患者诊断为III型结节病,在诊断后的17个月内并发肺结核,最终导致死亡。如我们病例中所见,抗分枝杆菌抗原复合物A60免疫球蛋白G(IgG)滴度的变化可能有助于区分这两种疾病。