Miglets A W, Viall J H, Kataria Y P
Laryngoscope. 1977 Dec;87(12):2038-48. doi: 10.1288/00005537-197712000-00009.
Sarcoidosis is a multisystem granulomatous disease of unknown etiology, occasionally presenting with signs or symptoms that occur within the head and neck. The diagnosis may be made by a combination of histological evaluation of involved tissue, the presence of a relative cutaneous anergy, a positive Kveim test, and certain abnormal laboratory or radiographic findings. Although pulmonary sarcoidosis is by far the most common manifestation of the disease, an occasional patient will present with involvement of the nose, tonsils, larynx, or parotid gland. The otolaryngologist should include this entity in his differential diagnosis of lesions which occur in these areas.
结节病是一种病因不明的多系统肉芽肿性疾病,偶尔会出现头颈部的体征或症状。诊断可通过对受累组织进行组织学评估、相对皮肤无反应性的存在、Kveim试验阳性以及某些异常的实验室或影像学检查结果来综合做出。尽管肺部结节病是该疾病迄今为止最常见的表现,但偶尔也会有患者出现鼻子、扁桃体、喉部或腮腺受累。耳鼻喉科医生在对这些部位出现的病变进行鉴别诊断时应考虑到这种疾病。