52 一位 27 歲男性，因為三個月的乾咳與胸悶到院求診。胸部 X 光顯示為兩側肺門腫塊。胸部電腦斷層 顯示為兩側肺門與縱膈腔淋巴腺腫。淋巴結活體切片病理顯示為非乳酪狀壞死之肉芽腫。有關後續 診斷與治療的敘述何者正確？
(A)有 2/3 的病例血中 Angiotensin converting enzyme（ACE）會升高
(B)Ga67 scan可以提供此病的確診影像，為必要之檢查
(C)應給予高劑量類固醇治療
(D)應給予抗結核藥物治療

答案：登入後查看
統計： A(27), B(8), C(15), D(21), E(0) #1058947

詳解 (共 3 筆)

#1572289
非乳酪狀壞死之肉芽腫=>sarco...
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#3101095

Sacoidosis : noncaseating granuloma, elevated ACE, Ca (normal PTH)

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#4049917

For patients with shortness of breath on exertion and slowly worsening radiographic opacities, the lower dose is usually adequate. For patients with rapidly progressive disease and severe impairment (eg, oxygen dependent), we favor using the higher end of the dose range.

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