[Evaluation of revised diagnosis criteria for sarcoidosis].
OBJECTIVE
Based on diagnostic criteria revised in 2006, we investigate whether a simple examination will provide a diagnosis for uveitis of sarcoidosis.


METHODS
Two hundred and six patients with uveitis suspected of having sarcoidosis who visited 4 hospitals from 1978 to 2008 were evaluated according to Their ocular and systemic findings.


RESULTS
One hundred and six patients were diagnosed as having sarcoidosis. Most patients had more than 4 ocular criteria. Bilateral hilar lymphadenopathy (BHL) was seen in 103 (97.2%) of the patients. When BHL was not detected with conventional chest X-rays, chest computerized tomography (CT) was useful in detecting BHL, especially in patients who were tuberculin negative.


CONCLUSIONS
When sarcoidosis is suspected from ocular findings, chest X-rays, a tuberculin skin test and serum angiotensin converting enzyme should be performed first. Even if BHL is not detected, a chest CT is useful in cases that are tuberculin negative.
Kiyotake
Ryoko
R
Department of Ophthalmology, Saga University School of Medicine, Japan. kiyotake@cc.saga-u.ac.jp
Okinami
Satoshi
S
Soma
Miho
M
Hirata
Akira
A
Ishigooka
Hitoshi
H
Kita
Mihori
M
Inada
Kohichiro
K
D005260:Female; D006801:Humans; D008206:Lymphatic Diseases / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D012507:Sarcoidosis / Q000175:diagnosis*; D014374:Tuberculin Test; D014605:Uveitis / Q000175:diagnosis*