肺外首发的结节病16例临床分析

目的提高对于结节病肺外表现的认识。方法回顾性分析临床确诊的16例首发于肺外的结节病患者临床资料。结果16例患者在结节病病程中共累及皮肤8例,骨关节和肌肉8例,眼部5例,淋巴系统5例,呼吸系统4例,唾液腺2例,血液系统1例。结论结节病为多系统受累疾病,当遇到一些不典型征象的患者,特别是50岁以上较年老者,应结合各项检查进行综合分析,避免误诊。

Objective To improve the recognition of sarcoidosis with extrapulmonary manifestations.Methods Clinical data of 16 cases with extrapulmonary sarcoidosis as presenting symptoms were retrospectively analyzed..Results Extrapulmonary organ involvements were as follows:8 cases presented with cutaneous lesions,8 arthritic and muscular involvements,5 ophthalmic manifestations,5 lymphadenopathy,4 respiratory symptoms,2 salivary glands involvements and 1 hematologic complication.Conclusion Sarcoidosis is a disease involving multiple systems.It should be alert to avoid misdiagnosis when atypical manifestations are presented,especially in elderly patients over fifty.