结节病病人呼吸道的胸内部分经常受累,而上呼吸道(URT)受累很少见。作者对750例结节病病人中27例(男13例、女14例,平均年龄41岁)鼻粘膜受累的病人进行分析。大多数病人有多系统损害,以肺、皮肤和外周淋巴结多见。病程从不足1年到20年,平均4.4年.鼻腔阻塞、结痂是结节病鼻受累的常见症状,18例在结节病起病时即出现,余9例在后期(平均3年)出现.鼻粘膜的改变最常位于鼻中隔和前鼻甲,表现粘膜糜烂、结痂、肥厚,伴细菌感染时可有脓涕。4例出现鼻 Patients with sarcoidosis are often involved in the thoracic part of the respiratory tract, while upper respiratory tract (URT) involvement is rare. The authors analyzed 27 patients (13 males, 14 females, and mean age 41 years) of nasal mucosa in 750 patients with sarcoidosis. Most patients have multiple system damage, with lung, skin and peripheral lymph nodes more common. Course of disease from less than 1 year to 20 years, an average of 4.4 years. Nasal obstruction, crusting is a common symptom of sarcoidosis, 18 cases of onset in sarcoidosis, the remaining 9 cases in the late (average 3 years) Appear nasal mucosal changes are most commonly located in the nasal septum and anterior turbinate, showing mucosal erosion, crusting, hypertrophy, bacterial infection may have purulent tears. 4 cases appeared nose