Sarcoidosis

disease characterized by the growth of collections of inflammatory cells (granulomas) in multiple organs

Sarcoidosis is a granulomatous disorder that can affect multiple organs. The lungs are affected most often (in 9 out of 10 cases in the UK). It is a noncaseating restrictive lung diseasee.

Sarcoidosis
Other namesSarcoïdosis, sarcoid, Besnier–Boeck–Schaumann disease[1]
Chest X-ray showing the typical nodularity of sarcoidosis, predominantly in the hila of the lungs.
Pronunciation
  • sar-koy-DOH-sis
Medical specialtyRheumatology, Immunology
Symptoms
Usual onset20–50 years old
More common in women[4]
DurationFew years to long term[2][5]
CausesUnknown[2]
Risk factorsFamily history[4]
Diagnostic methodBased on symptoms and tissue biopsy[6]
Differential diagnosisTuberculosis, lymphoma, infectious mononucleosis, pulmonary eosinophilia[7]
TreatmentIbuprofen, prednisone, methotrexate[8][9]
PrognosisMortality 1–7%[5]
Frequency1.9 million with interstitial lung disease (2015)[10]
Deaths122,000 with interstitial lung disease (2015)[11]

The cause is not known. Corticosteroids such as prednisone are often used to treat sarcoidosis. In some cases, methotrexate may be also used. Antimalarial drugs have also been used.[12]

Sarcoidosis may involve the brain. If it does, it is called neurosarcoidosis. In some cases, pulmonary fibrosis is a complication of sarcoidosis.

References

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  1. Konstantinidis G (2005). Elsevier's Dictionary of Medicine and Biology: in English, Greek, German, Italian and Latin. Elsevier. p. 1454. ISBN 978-0-08-046012-3.
  2. 2.0 2.1 2.2 Cite error: The named reference NIH2013What was used but no text was provided for refs named (see the help page).
  3. 3.0 3.1 3.2 Cite error: The named reference NIH2013Sym was used but no text was provided for refs named (see the help page).
  4. 4.0 4.1 Cite error: The named reference NIH2013Risk was used but no text was provided for refs named (see the help page).
  5. 5.0 5.1 Cite error: The named reference Wj2015 was used but no text was provided for refs named (see the help page).
  6. Cite error: The named reference Gov2015 was used but no text was provided for refs named (see the help page).
  7. Ferri FF (2010). Ferri's differential diagnosis: a practical guide to the differential diagnosis of symptoms, signs, and clinical disorders (2nd ed.). Philadelphia, PA: Elsevier/Mosby. p. Chapter S. ISBN 978-0-323-07699-9.
  8. Cite error: The named reference Dr2014 was used but no text was provided for refs named (see the help page).
  9. Cite error: The named reference Jud2016 was used but no text was provided for refs named (see the help page).
  10. Cite error: The named reference GBD2015Pre was used but no text was provided for refs named (see the help page).
  11. Cite error: The named reference GBD2015De was used but no text was provided for refs named (see the help page).
  12. "Sarcoidosis - Symptoms and causes". Mayo Clinic.