Sarcoidosis: Differential Diagnosis

Klech, H

doi:10.1055/s-2007-1012643

Cited by 6 publications

(3 citation statements)

References 79 publications

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“…In cases suspected of tuberculosis, especially when the sputum is scanty, careful examination of three early morning specimens with the aid of an aerosol is recom mended [6].…”

Section: Discussionmentioning

confidence: 99%

“…In patients with good resistance against tubercle bacilli, the granuloma lacks caseation and may be indistinguish able from sarcoidosis [6], Although criteria exist for hist ologic differentiation of sarcoidosis from tuberculosis [9], distinction is usually not possible in the absence of either extensive caseous necrosis or a stainable organism or both. Differential diagnosis of granulomatous disorders re quires a synthesis of information provided by the clinician, radiologist, pathologist, and microbiologist [6].…”

Section: Discussionmentioning

confidence: 99%

“…Differential diagnosis of granulomatous disorders re quires a synthesis of information provided by the clinician, radiologist, pathologist, and microbiologist [6]. Under these circumstances, all efforts should be repeatedly un dertaken to detect tubercle bacilli in sputum, bronchial se cretions, and in tissue specimen obtained by bronchos copy, mediastinoscopy and open thoracic biopsy.…”

Section: Discussionmentioning

confidence: 99%

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A Case of Pulmonary Tuberculosis with Bilateral Hilar Lymphadenopathy Diagnosed by Sputum Culture Subsequent to Open Thoracic Biopsy

Miyagawa

Mitsuyama²,

Hayashi³

et al. 1992

Respiration

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We report a case of pulmonary tuberculosis with bilateral hilar lymphadenopathy. Open thoracic lymph nodes and lung biopsy revealed findings consistent with sarcoidosis. Culture and special staining of the biopsied specimen for mycobacteria were negative. Culture of the postoperative sputum grew Mycobacterium tuberculosis and antituberculous therapy resulted in a decrease in sizes of the lymphadenopathy. A review of the literature, with emphasis on the differential diagnosis between tuberculosis and sarcoidosis, is discussed.

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“…In cases suspected of tuberculosis, especially when the sputum is scanty, careful examination of three early morning specimens with the aid of an aerosol is recom mended [6].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A Case of Pulmonary Tuberculosis with Bilateral Hilar Lymphadenopathy Diagnosed by Sputum Culture Subsequent to Open Thoracic Biopsy

Miyagawa

Mitsuyama²,

Hayashi³

et al. 1992

Respiration

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Sarcoidosis in children

Pattishall

Kendig

1996

Pediatr. Pulmonol.

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Thoracic imaging with 67gallium

et al. 1987

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In the past, gallium-67 imaging has undergone several ups and downs related to its clinical importance. After a period of initial enthusiasm, its role and indications are now established. At present, there are two fields of clinical interest for 67Ga-imaging: (1)mediastinal staging in bronchogenic carcinoma and the staging of malignant lymphoma; (2) assessment of activity in interstitial lung diseases, especially sarcoidosis and inflammatory lung disorders. The advantage of 67Ga-imaging is that it is highly sensitive for the detection of neoplastic and inflammatory processes, independent of anatomical barriers. Particularly with the challenge of AIDS, 67Ga-imaging will gain increasing importance in the future. The low specificity of gallium for detecting underlying disorders precludes its use as a primary diagnostic tool. Therefore, and because of the cost and radiation load, the indications for application will have to be selected very carefully.

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Sarcoidosis: Differential Diagnosis

Cited by 6 publications

References 79 publications

A Case of Pulmonary Tuberculosis with Bilateral Hilar Lymphadenopathy Diagnosed by Sputum Culture Subsequent to Open Thoracic Biopsy

A Case of Pulmonary Tuberculosis with Bilateral Hilar Lymphadenopathy Diagnosed by Sputum Culture Subsequent to Open Thoracic Biopsy

Sarcoidosis in children

Thoracic imaging with 67gallium

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