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要約 目的:サルコイドーシス診断基準の改訂を機に,眼症状がある本症の診断の再評価の報告。対象と方法:2006年までの10年間に眼所見から本症が疑われた188例を対象とし,旧診断基準と新診断基準でどのように判定されるかを検討した。男性49例,女性139例で,平均年齢は47.1±18.1歳である。結果:新診断基準によると,確定診断は188例中45%から52%に増加し,23例が疑診群から確定診断群に,11例が臨床診断群から疑診群に移行した。これら11例はすべて両側肺門リンパ節腫脹がない症例であった。結論:サルコイドーシスの診断率を向上するためには,眼以外の臓器についても積極的に精査する必要がある。
Abstract. Purpose:To report the classification of patients according to the earlier and new diagnostic criteria for sarcoidosis. Cases and Method:A total of 188 patients who were suspected as ocular sarcoidosis during 10 years through 2006 were evaluated according to the earlier and new diagnostic criteria. The series comprised 49 males and 139 females. The age averaged 47.1±18.1 years. Results:According to the revised criteria, rate of patients diagnosed as definite sarcoidosis increased from 45% to 52%. Twenty-three patients were assigned from suspect to definite sarcoidosis. Eleven patients were assigned from clinical to suspect sarcoidosis. All these 11 patients were negative for bilateral hilar lymphadenopathy. Conclusion:In order to improve the rate of diagnosis of sarcoidosis, it is essential to perform detailed systemic examinations.
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