書誌事項
- タイトル別名
-
- A case of sarcoidosis involving multiple organs presnting hypothalamus-hypothysis system disturbance.
この論文をさがす
抄録
A 23 year-old male was diagnosed as having sarcoidosis with multiple manifestations associated with endocrinological disturbances of the hypothalamus-hypothysis system.<br>At the onset of disease, Heerfordt syndrome was present, appetite loss, low grade fever and systemic superficial lymphadenopathy, and then symptoms of diabetes insipidus appeared. Chest roentogenogram showed bilateral hilar node and reticular shadows in the right upper zone. Ocular lesions included typical chorioretinitis, periphlebitis and uveitis.<br>Laboratory examinations revelaed panhypopituitarism to the exclusion of prolactin, and brain CT showed a suprascleral mass. Other tests suggested that liver, spleen, bone and heart were involved.<br>Treatment by corticosteroids resulted in inprovement of symptoms other than D. I. Chest X-ray and brain CT revealed that the abnormal shadows disappeared and laboratory examinations showed that the endocrinological disturbances gradually improved. Diabetes insipidus was well controlled by replacement therapy with vasopressin by nasal spray.
収録刊行物
-
- 日本胸部疾患学会雑誌
-
日本胸部疾患学会雑誌 23 (2), 230-236, 1985
社団法人 日本呼吸器学会