中华皮肤科杂志 ›› 1990, Vol. 23 ›› Issue (3): 159-160.

• 论著 • 上一篇    下一篇

结节病与Kveim反应

郭英年, 马圣清, 武玲慎   

  1. 北京医科大学第一医院皮肤科
  • 收稿日期:1988-08-29 修回日期:1988-11-24 出版日期:1990-06-15 发布日期:1990-06-15

BARCOIDOSIS AND KVEIM REACTION

GUO Ying-Nian, MA Sheng-Qing   

  1. The First Hospital of Beijing Medical University
  • Received:1988-08-29 Revised:1988-11-24 Online:1990-06-15 Published:1990-06-15

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摘要： 本文对19例系统性结节病、4例皮肤结节病及包括肺结核、肺癌等14例其他疾病的Kveim反应进行了观察。结果I9例系统性结节病的阳性率高达73.7%,在5例阴性反应的系统性结节病患者中有4例试验前服过强的松,皮质类固醉可抑制此反应。在4例皮肤结节病及肺结核、肺癌等14例其他患者中无1例阳性反应,因此,我们认为Kveim反应对系统性结节病是一种特异性诊断试验,其对胸外结节病的诊断价值尚待进一步探讨。

Abstract: In this article, the Kveirn reaction in 19 cases of systemic sarcoidosis, 4 ruses of cutaneous sascoidosis and 14 cases of other diseases was observed. From the results of our study, the positive frequency of Kveim reaction was as high as 73.7% for the 19 cases of systemic sarwidosis group. Among the 5 cases of systemic sarcoidosis with negative Kveim reaction 4 had received prednisone before testing. Corti-costeroid may inhibit the reaction. No positive changes were found in the 4 cases of cutaneous sareoidosis and 14 cases of other diseases inciuding 7 cases of pulmonary tuberculosis and 3 cases of lung cancer, etc. Therefore, we consider that Kveim reaction is a specific diagnostic test especially for systemic sarcoidosis, but its diagnostic value for extrathoracic sarcaidosis needs further investigatian.