眼サルコイドージス（第3報）—診断について

ON THE DIAGNOSIS OF OCULAR SARCOIDOSIS

緒言

　1969年までにわれわれは140例のサルコイドージス患者を経験し，そのうち86例が確実な眼病変を，さらに結膜濾胞を加えれば106例が眼病変を有していた（第1報参照）。定型的な眼サルコイドージスは一見して診断できるが，あらゆる組織に多様な病像で出現するために，なお診断確定に迷うことも少なくない。これは第5報に述べるごとく予後にもつながる問題なので，自験例を中心に，眼サルコイドージスの診断について考察する。

Some points of importance in diagnosis were stated.

Scalene node biopsy (43 were positive and 11 were negative) gave a sure diagnosis most frequently in 101 cases of sarcoidosis which had biopsies. 15 cases were proved to have sarcoi-dosis with biopsy on ocular tissue (follicle 6, iris 4, lacrimal gland 3, orbital tumor 1, eye ball 1).

We performed biopsies on conjunctival follicles in 29 cases. Among positive 9 cases, 3 were positive on scalene node too, but 6 had no fur-ther biopsy. Among negative 20 cases, 9 were positive on scalene node and 4 were negative.