Evaluation of revised diagnosis criteria for sarcoidosis

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

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Bibliographic Details
Published in:	Nippon Ganka Gakkai zasshi Vol. 114; no. 8; p. 678
Main Authors:	Kiyotake, Ryoko, Okinami, Satoshi, Soma, Miho, Hirata, Akira, Ishigooka, Hitoshi, Kita, Mihori, Inada, Kohichiro
Format:	Journal Article
Language:	Japanese
Published:	Japan 01-08-2010
Subjects:	Female Humans Lymphatic Diseases - diagnosis Male Middle Aged Practice Guidelines as Topic Sarcoidosis - diagnosis Tuberculin Test Uveitis - diagnosis
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Summary:	Based on diagnostic criteria revised in 2006, we investigate whether a simple examination will provide a diagnosis for uveitis of sarcoidosis. 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. 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. 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.
ISSN:	0029-0203