该病例特点如下:中年男性,慢性起病,以胸闷乏力起病,继而出现视物模糊、双眼畏光、疼痛,伴有干咳、双指关节疼痛、盗汗、消瘦。体检发现左颈部淋巴结肿大、双眼结膜充血明显、右侧胸腔积液体征。实验室检查:血沉24mm/h。胸部CT:纵隔多组淋巴结肿大,右侧中等量胸腔积液,左侧少量 The case features are as follows: Middle-aged men, chronic onset, onset of chest tightness, followed by blurred vision, binocular photophobia, pain, accompanied by dry cough, bilateral joint pain, night sweats, weight loss. Physical examination found that the left cervical lymph nodes, conjunctival hyperemia, signs of right pleural effusion. Laboratory tests: ESR 24mm / h. Chest CT: multiple mediastinal lymph nodes, moderate right pleural effusion, a small amount on the left