Mikhail J R, Lovell D, McGhee K J
Tubercle. 1976 Sep;57(3):226-8. doi: 10.1016/0041-3879(76)90031-3.
A male West Indian patient developed a pleural effusion without radiographic evidence of intra-thoracic lymph node or pulmonary abnormality. A pleural biopsy showed non-caseating granulomas. The Kveim test was positive. During treatment with anti-tuberculosis drugs bilateral pulmonary nodular shadows appeared in the chest x-ray. Anti-tuberculosis chemotherapy was stopped and prednisone given. The nodular shadows resolved.
一名西印度男性患者出现胸腔积液,胸部X光片未显示胸内淋巴结或肺部异常。胸膜活检显示非干酪性肉芽肿。Kveim试验呈阳性。在抗结核药物治疗期间,胸部X光片出现双侧肺结节阴影。停止抗结核化疗并给予泼尼松。结节阴影消退。