Iwanaga T, Inuzuka S, Kishikawa R, Ikeda T, Hirose T, Tsurutani H, Nishima S
Section of Pulmonary Medicine, National Minami-Fukuoka Chest Hospital, Japan.
Nihon Kokyuki Gakkai Zasshi. 1998 Jun;36(6):556-9.
A 36-year-old man was admitted to our hospital with chest-radiographic findings of diffuse ground-glass shadows in both lungs. A chest CT scan revealed disseminated micronodules with mediastinal lymphadenopathy. Histological examination of a transbronchial lung-biopsy specimen showed non-caseous epithelioid cell granulomata. Marked lymphocytosis and an abnormally high CD 4/CD 8 ratio was found in bronchoalveolar lavage fluid. These findings suggested a diagnosis of sarcoidosis despite the atypical radiographic findings.
一名36岁男性因胸部X线检查发现双肺弥漫性磨玻璃影入住我院。胸部CT扫描显示有弥漫性微小结节及纵隔淋巴结肿大。经支气管肺活检标本的组织学检查显示为非干酪样上皮样细胞肉芽肿。支气管肺泡灌洗液中发现明显的淋巴细胞增多及异常高的CD4/CD8比值。尽管影像学表现不典型，但这些发现提示为结节病。
