Diagnostic value of bronchoalveolar lavage in ocular sarcoidosis
Diagnostic value of bronchoalveolar lavage in ocular sarcoidosis
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支气管肺泡灌洗对眼结节病的诊断价值
DOI：
10.1111/j.1755-3768.1987.tb07075.x
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发表时间：
1987
影响因子：
3.4
通讯作者：
L. Verheijen
中科院分区：
文献类型：
--
作者：
M. Bienfait;H. Hoogsteden;G. Baarsma;H. Adriaansen;L. Verheijen
支气管肺泡灌洗（BAL）在肺结节病的诊断和随访中已被证实具有重要价值。它也似乎是一个有价值的贡献，以诊断患者提出眼结节病。我们评估了16例疑似眼结节病患者的BAL检查结果（14例葡萄膜炎，1例眼睑肿胀，1例泪腺炎症）。11例BAL阳性，如淋巴细胞增多，以T4+辅助淋巴细胞为主。1例患者的眼部征象非常疑似结节病（血管周围炎伴烛蜡浸润），BAL T淋巴细胞百分比正常（2%）。2例BAL阳性，表现为亚临床肺泡炎，而胸片和血管紧张素转换酶（ACE）水平未见变化。
Abstract Bronchoalveolar lavage (BAL) is an investigation which has already proven its value in the diagnosis and follow‐up of patients with pulmonary sarcoidosis. It also appears to be a valuable contribution to the diagnosis of patients presenting with ocular sarcoidosis. We evaluated the findings in BAL in 16 cases with suspected ocular sarcoidosis (14 cases of uveitis, one with eyelid‐swelling and one with an inflammatory process of the lacrimal gland). BAL was positive in 11 cases e.g. showed a lymphocytosis with predominantly T4+ helper lymphocytes. There was one patient with ocular signs very suspect for sarcoidosis (a perivasculitis with candle wax infiltrates) with a normal percentage T lymphocytes (2%) in BAL. In two cases BAL was positive and showed a subclinical alveolitis, whereas no changes were seen on the chest X‐ray and in Angiotensin Converting Enzyme (ACE) level.