Provision of services for the diagnosis and treatment of sarcoidosis | Print |
Monday, 09 November 2015 00:00
What is sarcoidosis?
foto
Sarcoidosis (Besnier-Boeck's syndrome-Schaumann) - a systemic disease characterized by the formation of granulomas are not classified in various organs and tissues. The most common respiratory vstrechaetsyasarkoidoz, with the defeat of intrathoracic lymph nodes and lung tissue.
The exact cause of the disease remains unknown to date, the estimated impact of various external factors (infectious agents, inhalation of metal dust and smoke, smoking, heredity).
Sarcoidosis Respiratory
It is not uncommon finding in X-ray and x-ray screenings.
rarer cases of treatment of patients with complaints mostly dry cough, shortness of breath, discomfort and chest pain.
the first manifestations of the disease may be symptoms associated with damage to respiratory organs - the pain and swelling of the ankle, knee and elbow joints, reduced visual acuity, the appearance of the skin bright red knots, acquiring further bluish - purple color, swelling and tenderness of the salivary parotid glands, weakness.
All of the instances of the disease require vigilance and further examination of the patient.
Diagnosis of sarcoidosis is a critical step in the delivery of patient care. Currently, our experts use the most informative methods of research and only an integrated approach including:
A careful history taking, which is intended to detect precipitating factors (infectious agents, inhalation of metal dust and smoke, smoking), and the early symptoms of the disease;
A careful and detailed inspection, is an important element in the diagnosis of sarcoidosis (the ability to identify cutaneous manifestations, enlarged salivary glands, modified peripheral lymph nodes, etc.);
Laboratory methods (general clinical blood and urine tests, blood chemistry, triple direct microscopic examination of sputum);
Instrumental methods (general chest X-ray, X-ray computed tomography of high resolution, bronchoscopy with bronchoalveolar lavage study, ECG, ultrasound of internal organs, thyroid, heart failure);
If necessary, consult related experts (TB doctor, ophthalmologist, dermatologist, cardiologist, neurologist);
Diagnostichesticheskaya Videothoracoscopy with lymph node biopsy and / or lung, is the most informative method of verification of the diagnosis;
Biopsy of peripheral lymph nodes, or skin (in the presence of lesions).
What to do if you have established the diagnosis of sarcoidosis?
The key to success in the treatment of sarcoidosis is a complex treatment, personalized and dynamic monitoring.
Our physicians, pulmonologists, taking into account characteristics of the disease, activity of the process, the results of diagnostic tests, as well as comorbidity you pick the appropriate comprehensive treatment, including:
Identify and avoid exposure to potential provoking factors (infectious agents, inhalation of metal dust and smoke, smoking, heredity, stress, giperinsolyatsiya);
Vitamin therapy, antioxidant therapy;
Immunomodulatory therapy;
Glucocorticosteroids (in some cases appointed by indications);
Other immunosuppressive and anti-inflammatory agents.
Sarcoidosis (Besnier-Boeck's syndrome-Schaumann) - a systemic disease characterized by the formation of granulomas are not classified in various organs and tissues. The most common respiratory vstrechaetsyasarkoidoz, with the defeat of intrathoracic lymph nodes and lung tissue.
The exact cause of the disease remains unknown to date, the estimated impact of various external factors (infectious agents, inhalation of metal dust and smoke, smoking, heredity).
Sarcoidosis Respiratory
It is not uncommon finding in X-ray and x-ray screenings.
rarer cases of treatment of patients with complaints mostly dry cough, shortness of breath, discomfort and chest pain.
the first manifestations of the disease may be symptoms associated with damage to respiratory organs - the pain and swelling of the ankle, knee and elbow joints, reduced visual acuity, the appearance of the skin bright red knots, acquiring further bluish - purple color, swelling and tenderness of the salivary parotid glands, weakness.
All of the instances of the disease require vigilance and further examination of the patient.
Diagnosis of sarcoidosis is a critical step in the delivery of patient care. Currently, our experts use the most informative methods of research and only an integrated approach including:
A careful history taking, which is intended to detect precipitating factors (infectious agents, inhalation of metal dust and smoke, smoking), and the early symptoms of the disease;
A careful and detailed inspection, is an important element in the diagnosis of sarcoidosis (the ability to identify cutaneous manifestations, enlarged salivary glands, modified peripheral lymph nodes, etc.);
Laboratory methods (general clinical blood and urine tests, blood chemistry, triple direct microscopic examination of sputum);
Instrumental methods (general chest X-ray, X-ray computed tomography of high resolution, bronchoscopy with bronchoalveolar lavage study, ECG, ultrasound of internal organs, thyroid, heart failure);
If necessary, consult related experts (TB doctor, ophthalmologist, dermatologist, cardiologist, neurologist);
Diagnostichesticheskaya Videothoracoscopy with lymph node biopsy and / or lung, is the most informative method of verification of the diagnosis;
Biopsy of peripheral lymph nodes, or skin (in the presence of lesions).
What to do if you have established the diagnosis of sarcoidosis?
The key to success in the treatment of sarcoidosis is a complex treatment, personalized and dynamic monitoring.
Our physicians, pulmonologists, taking into account characteristics of the disease, activity of the process, the results of diagnostic tests, as well as comorbidity you pick the appropriate comprehensive treatment, including:
Identify and avoid exposure to potential provoking factors (infectious agents, inhalation of metal dust and smoke, smoking, heredity, stress, giperinsolyatsiya);
Vitamin therapy, antioxidant therapy;
Immunomodulatory therapy;
Glucocorticosteroids (in some cases appointed by indications);
Other immunosuppressive and anti-inflammatory agents.