1. Value of Chest X-Ray and Chest Computed Tomography for Systemic Sarcoidosis Diagnosis in Undifferentiated Uveitis.
- Author
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Borciuch C, El-Jammal T, Kodjikian L, Boussel L, Romain-Scelle N, Nourredine M, Gerfaud-Valentin M, and Sève P
- Subjects
- Humans, Aged, Retrospective Studies, X-Rays, Tomography, X-Ray Computed, Sarcoidosis diagnosis, Sarcoidosis complications, Uveitis diagnosis, Uveitis etiology
- Abstract
Background: To evaluate the contribution of chest X-ray and chest CT for the diagnosis of sarcoid uveitis., Methods: Retrospective study on consecutive patients with uveitis of unknown etiology, who underwent both chest X-ray and CT during uveitis diagnosis workup in a tertiary French university hospital., Results: A total of 914 patients were included. Systemic sarcoidosis was identified in 23.1%. The probability of discordance between chest X-ray and CT increased with age at diagnosis ( p < 0.001). In patients 30 years of age and younger, the probability of discordance was 5% or less, and 0.8% if the ACE level was normal. After 78.3 years of age, the probability of discordance was 20% or more., Conclusion: We recommend not to perform CT in patients under 30 years of age with a normal chest X ray and ACE level, and suggest performing chest CT first in the elderly.
- Published
- 2024
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