Abstract
Sarcoidosis was ultimately diagnosed in a consecutive series of 79 patients, of whom 24 presented with unusual features. Histological support for this diagnosis was obtained in 37 out of 42 patients who underwent transbronchial biopsy; epithelioid and giant-cell granulomas were also found on biopsy of the bronchial mucosa in 17 out of 22 patients. Kveim tests were completed in 44 patients: results were positive in 19, equivocal in 11, and negative in 14. In 16 patients histological support was obtained on biopsy of various other tissues. The clinical presentation of the disease and the degree of histological support provided by the various procedures used in reaching a diagnosis of sarcoidosis varied considerably. Transbronchial biopsy of the lung is a useful advance in diagnosing sarcoidosis and provided a higher diagnostic yield than any other method.
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- Beekman J. F., Zimmet S. M., Chun B. K., Miranda A. A., Katz S. Spectrum of pleural involvement in sarcoidosis. Arch Intern Med. 1976 Mar;136(3):323–330. [PubMed] [Google Scholar]
- Bradstreet C. M., Dighero M. W., Mitchell D. N. The Kveim test: analysis of results of tests using colindale (K 12) materials. Ann N Y Acad Sci. 1976;278:681–686. doi: 10.1111/j.1749-6632.1976.tb47082.x. [DOI] [PubMed] [Google Scholar]
- Freundlich I. M., Libshitz H. I., Glassman L. M., Israel H. L. Sarcoidosis. Typical and atypical thoracic manifestations and complications. Clin Radiol. 1970 Oct;21(4):376–383. doi: 10.1016/s0009-9260(70)80072-1. [DOI] [PubMed] [Google Scholar]
- Knight R. K., Clarke S. W. An analysis of the first 300 fibreoptic bronchoscopies at the Brompton Hospital. Br J Dis Chest. 1979 Apr;73(2):113–120. [PubMed] [Google Scholar]
- Koerner S. K., Sakowitz A. J., Appelman R. I., Becker N. H., Schoenbaum S. W. Transbronchinal lung biopsy for the diagnosis of sarcoidosis. N Engl J Med. 1975 Aug 7;293(6):268–270. doi: 10.1056/NEJM197508072930603. [DOI] [PubMed] [Google Scholar]
- Mitchell D. N., Scadding J. G. Sarcoidosis. Am Rev Respir Dis. 1974 Dec;110(6):774–802. doi: 10.1164/arrd.1974.110.6P1.774. [DOI] [PubMed] [Google Scholar]
- Nosal A., Schleissner L. A., Mishkin F. S., Lieberman J. Angiotensin-I-converting enzyme and gallium scan in noninvasive evaluation of sarcoidosis. Ann Intern Med. 1979 Mar;90(3):328–331. doi: 10.7326/0003-4819-90-3-328. [DOI] [PubMed] [Google Scholar]
- Ross J. K., Mikhail J. R., Drury R. A., Levis R. D., Mitchell D. N. Mediastinoscopy. Thorax. 1970 May;25(3):312–316. doi: 10.1136/thx.25.3.312. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sackner M. A. Bronchofiberscopy. Am Rev Respir Dis. 1975 Jan;111(1):62–88. doi: 10.1164/arrd.1975.111.1.62. [DOI] [PubMed] [Google Scholar]
- Siltzbach L. E. Qualities and behavior of satisfactory Kveim suspensions. Ann N Y Acad Sci. 1976;278:665–669. doi: 10.1111/j.1749-6632.1976.tb47080.x. [DOI] [PubMed] [Google Scholar]
- Stanislas-Leguern G., Marsac J., Arnoux A., Lecossier D. Serum angiotensin-converting enzyme and bronchoalveolar lavage in sarcoidosis. Lancet. 1979 Mar 31;1(8118):723–723. doi: 10.1016/s0140-6736(79)91173-5. [DOI] [PubMed] [Google Scholar]
- Teirstein A. S., Chuang M., Miller A., Siltzbach L. E. Flexible-bronchoscope biopsy of lung and bronchial wall in intrathoracic sarcoidosis. Ann N Y Acad Sci. 1976;278:522–527. doi: 10.1111/j.1749-6632.1976.tb47065.x. [DOI] [PubMed] [Google Scholar]
- Turiaf J. Bronchial sarcoidosis. Acta Med Scand Suppl. 1964;425:228–229. doi: 10.1111/j.0954-6820.1964.tb05757.x. [DOI] [PubMed] [Google Scholar]
- Turton C. W., Grundy E., Firth G., Mitchell D., Rigden B. G., Turner-Warwick M. Value of measuring serum angiotensin I converting enzyme and serum lysozyme in the management of sarcoidosis. Thorax. 1979 Feb;34(1):57–62. doi: 10.1136/thx.34.1.57. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Widstrom A., Schnurer L. B. The value of mediastinoscopy--experience of 374 cases. J Otolaryngol. 1978 Apr;7(2):103–109. [PubMed] [Google Scholar]
- Zavala D. C. Pulmonary hemorrhage in fiberoptic transbronchial biopsy. Chest. 1976 Nov;70(5):584–588. doi: 10.1378/chest.70.5.584. [DOI] [PubMed] [Google Scholar]