结节病(Sarcoidosis)过去又称为布氏肉芽肿或类肉瘤病。世界各地均有发病,以北欧地区较多见。在我国结节病并不少见。有人统计至1980年3月,国内已有62例结节病报道。1981年7月,北京13个医疗单位一次就收集未曾公开发表的结节病63例。笔者统计至1982年8月,国内已有83例结节病的报道。本病临床表现多样,又缺乏特征性表现,误诊率高。为进一步认识本病的发病规律,本文拟就有关结节病的诊断问题作一扼要叙述。一、症状和体征结节病的临床症状并无特异性,不少患者常无任何不适,或因症状轻微而被忽略,误诊或漏诊率相当高。综合83例,有记载的67例中误诊62例(92.54％)。误诊时间1.5月～20年,多在数月至2年。常误诊为各类 Sarcoidosis was also known as Briggs granulomatosis or sarcoidosis. Disease occurs all over the world, more common in the Nordic region. Sarcoidosis is not uncommon in our country. Some statistics to March 1980, China has 62 cases of sarcoidosis reported. In July 1981, 13 medical units in Beijing once collected 63 cases of sarcoidosis that had never been published. Statistics to August 1982, 83 cases of sarcoidosis have been reported. The clinical manifestations of the disease varied, but also the lack of characteristic performance, misdiagnosis rate. In order to further understand the pathogenesis of this disease, this article intends to give a brief account of the diagnosis of sarcoidosis. First, the symptoms and signs No clinical symptoms of sarcoidosis, many patients often without any discomfort, or because of minor symptoms were ignored, misdiagnosis or misdiagnosis rate is quite high. Among the 83 cases, 62 cases (92.54%) were misdiagnosed in 67 cases. Misdiagnosis time 1.5 months to 20 years, more in a few months to 2 years. Often misdiagnosed as various types