CAJ | 학술논문

目的提高对老年人结节病的认识.方法回顾性分析临床确诊的13例老年结节病患者的临床资料.结果无症状查体时发现3例,首发症状为肺内和肺外表现者各5例.胸部影像学有8例呈不典型表现.8例经纤维支气管镜检查有5例呈炎症改变.5例肺泡灌洗液中淋巴细胞比例和CD4/CD8比值增高者各3例.7例通过活检确诊.13例经治疗后均不同程度缓解病情.结论老年人结节病临床症状和影像学表现多种多样,常不典型,明确诊断需要结合检查结果综合分析.对有治疗指征的患者在密切监测下可给予皮质激素治疗.
목적 제고대노년인결절병적인식.방법 회고성분석림상학진적13례노년결절병환자적림상자료.결과 무증상사체시발현3례,수발증상위폐내화폐외표현자각5례.흉부영상학유8례정불전형표현.8례경섬유지기관경검사유5례정염증개변.5례폐포관세액중림파세포비례화CD4/CD8비치증고자각3례.7례통과활검학진.13례경치료후균불동정도완해병정.결론 노년인결절병림상증상화영상학표현다충다양,상불전형,명학진단수요결합검사결과 종합분석.대유치료지정적환자재밀절감측하가급여피질격소치료.
Objective To improve the recognition of sarcoidosis in elderly patients.Methods Clinical data of 13 elderly patients with sarcoidosis were retrospectively analyzed.Results There were three cases without symptom and five cases with intra-pulmonary and extra-pulmonary manifestations respectively.Eight cases had atypical radiological appearances and five cases showed inflammatory changes through bronchofibercopy.There were three cases with increased percentage of lymphocytes and high ratio of CD4/CD8 in bronchoalveolar lavage fluid (BALF) respectively.Seven cases were diagnosed through biopsy.And the symptoms of all thirteen patients diminished after treatmeit.Conclusions The clinical symptom and radiologieal manifestation of sarcoidosis in elderly patients are varied and usually atypical.The diagnosis should be based on comprehensive analysis including clinical manifestation and examination.The elderly patients with indication of treatment can be given corticosteroid therapy with close clinical monitoring.