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结节病中的结节性红斑。37例

[Erythema nodosum in sarcoidosis. 37 cases].

作者信息

Turiaf J, Battesti J P, Dournovo P

出版信息

Nouv Presse Med. 1976 Nov;5(39):2603-5.

PMID:995591
Abstract

Erythema nodosum was seen in 37 out of 564 cases of sarcoidosis, i.e. 6.4. per cent. The female preponderance of the association was 56.8 per cent. It was accompanied by fever in 84 per cent of cases and with an increased sedimentation rate, greater than 50 mm in the first hour, in 44 per cent of cases. Articular manifestations (arthralgia or arthritis) were seen in 73 per cent of cases, with a predilection for the ankles. Progression by acute excerbations of the erythema nodosum and/or articular manifestations was rare. Mediastino-pulmonary involvement accompanying the erythema nodosum included mediastinal lymphadenopathy in all cases. Infiltration of the pulmonary parenchyma was seen in 27 per cent. Spontaneous resolution of the mediastino-pulmonary lesions occurred in 82 per cent of cases, regardless of the initial radiological appearance.

摘要

564例结节病患者中,有37例出现结节性红斑,即占6.4%。该关联中女性占比为56.8%。84%的病例伴有发热,44%的病例血沉加快,第一小时大于50毫米。73%的病例出现关节表现(关节痛或关节炎),以踝关节受累为主。结节性红斑和/或关节表现急性加重的进展情况罕见。结节性红斑伴发的纵隔-肺受累包括所有病例均有纵隔淋巴结肿大。27%可见肺实质浸润。无论初始放射学表现如何,82%的病例纵隔-肺病变可自行消退。

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