[Differential diagnosis of tuberculosis and other diseases affecting the middle lobe of the lung (lingular lobe)].
Based on data resulting from clinical, laboratory, bronchological and radiological correlations investigated in 102 patients with affections involving the median pulmonary lobe (the lingula), the author concluded that no characteristic symptoms can be evidenced, suggesting lesions of the anterior pulmonary areas. The major role in establishing the characteristics of the lesion in this area falls to the radio-bronchological investigation performed specifically for this. According to the radiological aspects the author identified 6 types of broncho-stenotic syndromes involving the median pulmonary lobe, but he stresses that in view of making an etiologic diagnosis the bronchologic investigation, and the cytohistologic study of bioptic material are of major importance. The use of immunologic test is also stressed, in the diagnosis of bronchopulmonary diseases. The author reveals that the diagnosis of "syndrome of the median lobe" cannot replace the exact diagnosis of the disease that should be made in accordance with the nomenclature of the disease and the precise indication of the nosologic form.
D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D008173:Lung Diseases, Obstructive / Q000175:diagnosis; D008175:Lung Neoplasms / Q000175:diagnosis; D008875:Middle Aged; D008878:Middle Lobe Syndrome / Q000175:diagnosis*; D011014:Pneumonia / Q000175:diagnosis; D011658:Pulmonary Fibrosis / Q000175:diagnosis; D012507:Sarcoidosis / Q000175:diagnosis; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis*
Diagnostical diferenţial at tuberculozei şi al altor boli cu afectarea lobului pulmonar mediu (lobul lingulei).