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本文报道1例女性,48岁,病史10年的活动性结节病病人。反复出现气短、咳嗽、关节痛,皮肤红斑。胸片示两肺网状结节浸润,两肺门淋巴结肿大,肺潘量(VC)降低。镓扫描两肺及肺门阳性。支气管肺泡灌洗(BAL)检查显示淋巴细胞增加达63%。T-辅助淋巴细胞T-抑制淋巴细胞(CD_4:CD_8)比例18。血清钙11.1mg/dl,血管紧张素转化酶(ACE)60u(正常35u)。类固醇治疗2个月后,胸片明显改善,VC 增加,症状缓解。撤除激素2年
This article reports a case of female, aged 48, with a history of 10 years of active sarcoidosis patients. Repeated shortness of breath, cough, joint pain, skin erythema. The chest radiograph showed infiltration of two lung reticular nodules, two hilar lymph nodes, and a decrease in pulmonary pancreas volume (VC). Gallium scan both lungs and hilar positive. Bronchoalveolar lavage (BAL) examination showed a 63% increase in lymphocytes. T-helper lymphocyte T-suppressor lymphocyte (CD_4: CD_8) ratio 18. Serum calcium 11.1mg / dl, angiotensin converting enzyme (ACE) 60u (normal 35u). Two months after steroid treatment, chest radiographs were significantly improved, VC increased, and symptoms resolved. Remove hormones for 2 years