[Clinical analysis of 15 cases of pulmonary sarcoidosis].
OBJECTIVE
To facilitate the diagnosis and treatment of pulmonary sarcoidosis.


METHODS
The clinical data of 15 cases of pulmonary sarcoidosis were retrospectively analyzed.


RESULTS
Among these patients, 7 were identified with respiratory symptoms as the initial clinical representations, and 6 patients initially presented extrapulmonary symptoms, with 2 patients having no discomfort. Chest X-ray and lung CT scan results of 13 cases showed symmetrical lymph node enlargement in the bilateral lung hilus and mediastinum. Twelve patients had increased serum angiotensin-converting enzyme levels, and 10 had increased erythrocyte sedimentation rate, with only 1 case showing positive result in purified protein derivative skin test.


CONCLUSIONS
Pulmonary sarcoidosis has atypical clinical symptoms, and the diagnosis should be reached by a careful evaluation of the clinical representations in conjunction with X-ray, CT, and laboratory test results.
Huang
Wen-jie
WJ
Department of Respiratory, Guangzhou General Hospital of Guangzhou Command, Guangzhou 510010, China.
Li
Wei-feng
WF
Xu
Hong
H
Fang
Yi
Y
Li
Zhi-bin
ZB
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013902:Radiography, Thoracic; D012189:Retrospective Studies; D017565:Sarcoidosis, Pulmonary / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed