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首页> 外文期刊>Journal of Clinical Ultrasound: JCU >Sarcoid myopathy: imaging findings.
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Sarcoid myopathy: imaging findings.

机译:结节性肌病:影像学表现。

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摘要

Sarcoidosis is a granulomatous multisystem disorder that may uncommonly involve muscle. Muscular sarcoid may be nodular, atrophic myopathic, or acute myositic. We illustrate a case of the myopathic type of muscular sarcoid that is unusual because the abdominal wall muscles, rather than the extremity muscles, were involved. Muscular involvement by sarcoid should be considered in the differential diagnosis of focal muscle disease, especially in a patient with a known history of sarcoid. The presence of typical bilateral hilar adenopathy on a chest radiograph as well as the presence of abdominal findings (hepatosplenomegaly and retroperitoneal adenopathy) may help establish the diagnosis. Otherwise, sonographically guided biopsy may be necessary for definitive diagnosis.
机译:结节病是肉芽肿性多系统疾病,可能罕见地累及肌肉。肌肉结节病可能是结节性,萎缩性肌病或急性肌病。我们举例说明了肌节肌型肌病性病例,这是不寻常的,因为涉及的是腹壁肌肉而不是四肢肌肉。在局灶性肌肉疾病的鉴别诊断中,应考虑结节肌的累及,特别是在已知结节病病史的患者中。胸部X光片上典型的双侧肺门腺病的存在以及腹部的发现(肝脾肿大和腹膜后腺病)可能有助于确定诊断。否则,可能需要超声引导下的活检来明确诊断。

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