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[一例乳突结节病]

[A case of sarcoidosis of the mastoid].

作者信息

Verse T, Pirsig W, Heymer B

机构信息

Universitäts-HNO-Klinik Ulm.

出版信息

Laryngorhinootologie. 1997 May;76(5):312-4. doi: 10.1055/s-2007-997433.

Abstract

BACKGROUND

Sarcoidosis is a common granulomatous systemic inflammatory disease mainly affecting the interstitial lung tissue and perihilar lymph nodes. Since its first description by Bernier 1889 its etiology has remained obscure.

METHOD

Sarcoidosis of the right middle ear in a 38-year-old woman was diagnosed by biopsy.

RESULT

After mastoidectomy and treatment with prednisolone the patient has been free of relapse for two years.

CONCLUSION

According to our knowledge this is the second reported case of sarcoidosis of the middle ear. In both cases the interstitial lung tissue has been involved as well. This finding increases the importance of excluding sarcoidosis in differential diagnosis of chronic otitis media.

摘要

背景

结节病是一种常见的肉芽肿性全身性炎症性疾病,主要影响肺间质组织和肺门周围淋巴结。自1889年被伯尼尔首次描述以来,其病因一直不明。

方法

通过活检确诊一名38岁女性右中耳结节病。

结果

乳突切除术后并用泼尼松龙治疗,患者已两年无复发。

结论

据我们所知,这是第二例报告的中耳结节病病例。两例均累及肺间质组织。这一发现增加了在慢性中耳炎鉴别诊断中排除结节病的重要性。

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