RESUMO
O objetivo deste trabalho é avaliar a utilidade da biópsia de conjuntiva como procedimento rotineiro na avaliação de pacientes com suspeita de sarcoidose. Estudamos histológicamente 18 biópsias de 9 pacientes com sarcoidose sistêmica previamente comprovada por biópsias de diferentes tecidos. Os 18 exames (100%) foram negativos para processo granulomatoso sem necrose de caseificação. Concluímos que a biópsia de conjuntiva parece não ser procedimento útil para o diagnóstico de sarcoidose.
Palavras-chave:
Sarcoidose; Histopatologia; Conjuntiva
SUMMARY
The purpose of this paper is to evaluate the usefulness of conjunctival biopsy as a routine procedure in the evaluation of patients with suspected sarcoidosis. We studied histologically eighteen biopsies from 9 patients with previously confirmed systemic sarcoidosis. The 18 biopsies (100%) were negative for a noncaseating granulomatous process. We concluded that conjunctival biopsy is not a useful procedure for the diagnosis of sarcoidosis.
Keywords:
Sarcoidosis; Histopathology; Conjunctiva
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Trabalho realizado no Departamento de Oftalmol. da Santa Casa de São Paulo.
REFERENCIAS BIBLIOGRAFICAS
-
1Hunter DG, Foster CS. Systemic manifestations of sarcoidosis. In Albut DA, Jacobiek FA. Principles and practice of Ophthalmology, Philadelphia, WB Saunders 1994;3132-42.
-
2Spaid RF, Ward DL. Conjunctival biopsy in the diagnosis of sarcoidosis. Br J Ophthalmol 1990;74:469-71.
-
3Karcioglu ZA; Brear R. Conjunctival biopsy in sarcoidosis. Am J Ophthalmol 1995;99:68-73.
-
4Khan F, Wessely Z, Chazin SR, Seriff NS. Conjunctival biopsy in sarcoidosis: a simple, safe and specific diagnostic procedure. Am J Ophthalmol 1997;9:671-6.
-
5Nomstein JS. Conjunctival biopsy in the diagnosis of sarcoidosis. N Engl J Med 1962;267:60-4.
-
6Salomon DA, Hom BR, Byrd CRB, Lorfel RS, Griggs GA. The diagnosis of sarcoidosis by conjunctival biopsy. Chest 1978;74:271-3.
-
7Fong FK, Israel CW. Conjunctival biopsy in the diagnosis of sarcoidosis. South Med J 1978;72:124.
-
8Rasmussen SM, Neukirch F. Sarcoidosis. Acta Med Scand 1976;99:209-16.
-
9Ismael HL, Sones M. Selection of biopsy procedures for sarcoidosis diagnosis. Arch Intem Med 1964;113:255-60.
-
10Zeynel AK, Brear R. Conjunctival biopsy in sarcoidosis. Am J Ophthalmol 1985;99:68-73. 1 1. Zimmerman LE, Maumenee AE. Ocular aspects of sarcoidosis. Am Rev Respir (supl) 1985;84:38-44.
-
11Zimmerman LE, Maumenee AE. Ocular aspects of sarcoidosis. Am Rev Respir (supl) 1985;84:38-44.
-
12James DG. The diagnosis and treatment of ocular sarcoidosis. Acta Med Scand (supl) 1964;425:203-8.
-
13Siltzbach LE. Sarcoidosis. In Cecil - Textbook of Medicine 13" ed. Buson PB, Me Dermott W. Philadelphia: WB Saunders, 1971.
-
14Crick RP, Hoyle C, Saville H. Eyes in sarcoidosis. Br J Ophthalmol 1961;45:461-81.
-
15Karma A, Sutinen S. Conjunctival biopsy in sarcoidosis. Acta Ophthalmol (supl) 1975;125:52-3.
-
16Nichols CW, Eagle Jr. RC, Yanoff M et al. Conjunctival biopsy as an aid in the evaluation of the patient with suspectec sarcoidosis. Ophthalmology 1980;87:287-91.
Datas de Publicação
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Publicação nesta coleção
Jun 1998