DIFFICULTIES IN DIFFERENTIAL DIAGNOSTICS OF RESPIRATORY TUBERCULOSIS AND SARCOIDOSIS
Abstract
TB doctors and pulmonologists are very well familiar with the issue of differential diagnostics between pulmonary tuberculosis and sarcoidosis. Despite the introduction of new diagnostic tools for disseminated diseases, the absence of pathognomonic, clinical, X-ray and morphological signs of the disease remains to be the big problem resulting in the significant number of diagnostic mistakes (60-75%). The Mantoux test with 2 TU is still used for differential diagnostics between tuberculosis and sarcoidosis. Till present among immunological tests the skin tuberculin test has remained to be the only one for tuberculosis diagnostics. However recently some new highly informative immunological tests have appeared allowing diagnosing tuberculosis on a higher level and thus giving up Mantoux test with 2 TU. The article presents the clinical case confirming the value of immunological tests in differential diagnostics between sarcoidosis and tuberculosis.
About the Authors
M. V. Pavlova
St. Petersburg Research Institute of Phthisiopulmonology
Russian Federation
Russian Federation
St. Petersburg,
starshinova_777@mail.ru
M. A. Belokurov
St. Petersburg Research Institute of Phthisiopulmonology
Russian Federation
St. Petersburg
Russian Federation
St. Petersburg
I. V. Chernokhaeva
St. Petersburg Research Institute of Phthisiopulmonology
Russian Federation
St. Petersburg
Russian Federation
St. Petersburg
O. A. Yakunova
St. Petersburg Research Institute of Phthisiopulmonology
Russian Federation
St. Petersburg
Russian Federation
St. Petersburg
A. R. Kozak
St. Petersburg Research Institute of Phthisiopulmonology
Russian Federation
St. Petersburg
Russian Federation
St. Petersburg
V. A. Tsinzerling
St. Petersburg Research Institute of Phthisiopulmonology;
St. Petersburg State University
Russian Federation
St. Petersburg
Russian Federation
St. Petersburg
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Review
For citations:
Pavlova M.V., Belokurov M.A., Chernokhaeva I.V., Yakunova O.A., Kozak A.R., Tsinzerling V.A. DIFFICULTIES IN DIFFERENTIAL DIAGNOSTICS OF RESPIRATORY TUBERCULOSIS AND SARCOIDOSIS. Tuberculosis and Lung Diseases. 2016;94(3):57-61. (In Russ.)
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