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结节病病因尚不明确,病理学的特点是一种不发生干酪样坏死的良性上皮样慢性肉芽肿病变。本病可发生于淋巴结、肺、皮肤、眼、肝、脾、脑下垂体、眼睛色素层和指骨关节等多种器官,常易误诊为肺门淋巴腺结核、胸腔内恶性肿瘤、风湿性关节炎、肝炎,甚至罕见的尿崩症、败血症。为探讨误诊原因,兹将我院1962年以来确诊为结节病的8例资料分析讨论如下: 一、病例介绍例1:史××,女,29岁,工人。3年前患面瘫,双眼“虹膜炎”,继而出现周身无力,气短,微热,多汗等,在县医
The etiology of sarcoidosis is unclear and the pathology is characterized by a benign, epithelioid, chronic granulomatous disease that does not cause caseous necrosis. The disease can occur in lymph nodes, lungs, skin, eyes, liver, spleen, pituitary gland, eye pigment layer and the phalanx joint and other organs, often misdiagnosed as hilar lymph node tuberculosis, intrathoracic cancer, rheumatoid arthritis Inflammation, hepatitis, even rare diabetes insipidus, septicemia. In order to explore the causes of misdiagnosis, 8 cases of sarcoidosis diagnosed in our hospital since 1962 are analyzed and discussed as follows: I. Case Introduction Example 1: Shi XX, F, 29 years old, worker. 3 years ago suffering from facial paralysis, his eyes “iris inflammation”, followed by whole body weakness, shortness of breath, fever, sweating, etc., in the county