结节病4例临床报告

CLINICAL REPORT IN 4 CASES OF SARCOIDOSIS

一、结节病在我国报道甚少,本文报道4例结节病,X-线照片形态有显示双肺门淋巴结肿大者,也有显示为肺浸润者。二、本文病例的O.T.试验全部阴性。4例的病理检查特点为全部切片中的结节无干酪样坏死。三、结节病的病因不明,近今有人指出:其发病机制,可能与细胞免疫缺陷有关。四、对其它有淋巴结肿大的疾病,Kveim试验也起反应,故认为Kveim试验不具有特异性。

1.Sarcoid disease as reported in our country is very rare.We are reporting 4 cases of sarcoidosis in this paper.The x-Ray showed that bilateral hilat lymph-nodes enlargement in some-body,while parenchymatous infiltrations in others.2.All of the 4 cases which reported here the O.T.reactions were negative.The characteristic pathological changes in the small nodules were containing numerous epitheloid cells,several Langhan’s cells,and a few lymphocytes,There were non-caseous materials in the small nodules.3.The etiology of the sarcoid disease is not clear yet.Some one points out that it may be due to the cell-immunological insufficiency.4.Many other kinds of lymph-adenopathic disease can also show a Kveim positive.Now.we are reasonable to say that the Kveim rest is a non-specific method.