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结节病是一种原因不明,累及全身器官的疾病。此病常常缺乏特征表现,故易误诊。现将结节病误诊为结核病2例报告如下。病例报告例1,女,20岁,学生。主诉胸闷、咳嗽、乏力、低烧月余。一般状态良好,体温37℃,血压100/60mmHg,皮肤粘膜无黄染及出血倾向,浅表淋巴结无肿大。胸部检查右侧中部叩诊浊音,听诊呼吸音减弱。心脏听诊正常。血常规:白细胞12.000/mm~3,中性粒细胞70%。血沉正常。胸片示:右纵膈阴影增宽,双肺门淋巴结肿大,右肺中叶不张,提示原发型肺结核伴发肺不张。经抗结核治疗2个月无效,并发现浅在淋巴结肿大,侧位胸片
Sarcoidosis is a disease of unknown origin involving the body organs. The disease often lacks features, it is easy to misdiagnosis. Now misdiagnosis of sarcoidosis as tuberculosis 2 cases are as follows. Case report 1, female, 20 years old, student. Chief complaint chest tightness, cough, fatigue, low fever more than a month. General good condition, body temperature 37 ℃, blood pressure 100 / 60mmHg, skin and mucosa without yellow dye and bleeding tendency, superficial lymph nodes without swelling. Chest examination of the right side of the central percussion dullness, auscultatory breath sounds weakened. Cardiac auscultation normal. Blood: white blood cells 12.000 / mm ~ 3, 70% of neutrophils. ESR normal. Chest X-ray showed: broaden the right mediastinal shadow, double hilar lymph nodes, right middle lobe atelectasis, suggesting primary pulmonary tuberculosis associated with atelectasis. After 2 months of anti-TB treatment is invalid, and found shallow in the lymph nodes, lateral chest radiograph