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Sarcoidosis

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Clinical Presentation and Treatment of High-Risk Sarcoidosis.

David M Perlman, Muthya Tejasvini Sudheendra, Yuka Furuya, Chetan Shenoy, Rajat Kalra, Henri Roukoz, Jeremy Markowitz, Lisa A Maier, Maneesh Bhargava,

Sarcoidosis is a multisystem disease of unknown cause with heterogeneous clinical manifestations and variable course. Spontaneous remissions occur in some patients, whereas others have progressive disease impacting survival, organ function, and quality of life. Four high-risk sarcoidosis phenotypes associated with chronic inflammation have recently been identified as high-priority areas for ... Read more >>

Ann Am Thorac Soc (Annals of the American Thoracic Society)
[2021, 18(12):1935-1947]

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Sarcoidosis: What nurses need to know.

Anna Crawford, Lisa Ruth-Sahd,

<h4>Abstract</h4>Pulmonary sarcoidosis is a multisystem disease characterized by sarcoid granulomas, vasculitis, and degrees of necrosis with unknown etiology. This article discusses the pathophysiology of sarcoidosis and its medical and nursing management. A case presentation highlights some long-term concerns with this chronic disease. ... Read more >>

Nursing (Nursing)
[2021, 51(12):20-26]

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Management of Advanced Pulmonary Sarcoidosis.

Rohit Gupta, Marc A Judson, Robert P Baughman,

The term "advanced sarcoidosis" is used for forms of sarcoidosis with a significant risk of loss of organ function or death. Advanced sarcoidosis often involves the lung and is described as "Advanced Pulmonary Sarcoidosis" (APS) which includes advanced pulmonary fibrosis, associated complications such as bronchiectasis and infections, and pulmonary hypertension. ... Read more >>

Am J Respir Crit Care Med (American journal of respiratory and critical care medicine)
[2021, :]

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Neuro-Ophthalmic Manifestations of Sarcoidosis.

Amanda D Henderson, Jing Tian, Andrew R Carey,

<h4>Background</h4>Sarcoidosis is an idiopathic, multisystem, inflammatory disease that has central nervous system involvement in 5%-15% of cases. The presentation of neurosarcoidosis is highly variable, and the MRI findings often mimic the appearance of other central nervous system diseases. Therefore, the diagnosis can be challenging. About one-third of neurosarcoidosis cases have ... Read more >>

J Neuroophthalmol (Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society)
[2021, 41(4):e591-e597]

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Serum galectin-3 and TGF-beta levels in patients with sarcoidosis.

Senol Kobak, Muhittin Akyildiz, Ayse Gokduman, Tennur Atabay, Huseyin Vural,

<h4>Introduction</h4>Sarcoidosis is a chronic granulomatous disease that develops with non-caseified granuloma formation. Galectin-3 is a multifunctional protein operating in biological processes such as fibrosis, angiogenesis, and immune activation.<h4>Purpose</h4>This study evaluates the levels of serum galectin-3 and TGF-beta in sarcoidosis patients to determine a possible correlation with clinical findings.<h4>Material and method</h4>Forty-four ... Read more >>

Reumatol Clin (Engl Ed) (Reumatologia clinica)
[2021, 17(10):562-565]

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Sarcoidosis Induced by Atezolizumab Presenting With Xanthelasma Infiltration.

Joaquim Marcoval, Carlos Moreno-Vílchez, Claudia Llobera-Ris, Clara Torrecilla-Vall-Llossera, Rosa M Penín,

<h4>Abstract</h4>Sarcoidosis induced by anti-PD1 or anti-PDL1 agents such as atezolizumab has recently been reported. It has been suggested that the predilection of sarcoidosis to affect scars is due to the presence of antigens or foreign bodies that can serve as a stimulus for granuloma formation. However, to the best of ... Read more >>

Am J Dermatopathol (The American Journal of dermatopathology)
[2021, 43(12):980-983]

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Interferon-induced sarcoidosis with uveitis as the initial symptom: a case report and review of the literature.

Ai Kato, Mami Ishihara, Nobuhisa Mizuki,

<h4>Background</h4>In recent years, numerous studies have reported the development or exacerbation of sarcoidosis due to interferon therapy. However, ocular lesions rarely present as initial symptoms. Herein, we describe a rare case of interferon-α-induced sarcoidosis with uveitis as the initial symptom, and present a review of the relevant literature.<h4>Case presentation</h4>This case ... Read more >>

J Med Case Rep (Journal of medical case reports)
[2021, 15(1):568]

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FeV1 and BMI influence King's Sarcoidosis Questionnaire score in sarcoidosis patients.

Björn Christian Frye, Laura Potasso, Erik Farin-Glattacker, Surrinder Birring, Joachim Müller-Quernheim, Jonas Christian Schupp,

Sarcoidosis is granulomatous disease of unknown origin affecting organ function and quality of life. The King's Sarcoidosis Questionnaire (KSQ) serves as a tool to assess quality of life in sarcoidosis patients with general health and organ specific domains. A German translation has been validated in a German cohort. In this ... Read more >>

BMC Pulm Med (BMC pulmonary medicine)
[2021, 21(1):395]

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Frequency of peripheral blood eosinophilia and obstructive airway disease in sarcoidosis.

Belal Rabah, Fatma Sema Oymak, Burcu Baran Ketencioğlu, Nuri Tutar, Inci Gülmez, Insu Yilmaz,

<h4>Background/aim</h4>There is limited information about peripheral blood eosinophilia (PBE) and airway obstruction in sarcoidosis. Since pulmonary sarcoidosis affects the airways, it is often confused with asthma. The aims of the study are to investigate airway obstruction and PBE in sarcoidosis patients and to examine the similarity of clinical presentation with ... Read more >>

Turk J Med Sci (Turkish journal of medical sciences)
[2021, :]

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Usefulness of position emission tomography/computed tomography in a case of sarcoidosis with multiorgan involvement

Norihiko Amano, Soshi Takahashi, Saori Hatachi, Shunichi Kumagai,

Sarcoidosis, a systemic inflammatory disease of unknown etiology, can affect any site in the body. A bone lesion was unexpectedly detected by fluorodeoxyglucose position emission tomography/computed tomography (FDG PET/CT) in a patient with multiorgan sarcoidosis. FDG PET/CT should be considered for the detection of clinically silent lesions of sarcoidosis. ... Read more >>

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Defining CD4 T helper and T regulatory cell endotypes of progressive and remitting pulmonary sarcoidosis (BRITE): protocol for a US-based, multicentre, longitudinal observational bronchoscopy study.

Laura L Koth, Laura D Harmacek, Elizabeth K White, Nicholas Kostandinos Arger, Linda Powers, Brenda R Werner, Roman E Magallon, Pineet Grewal, Briana Q Barkes, Li Li, May Gillespie, Sarah E Collins, Jessica Cardenas, Edward S Chen, Lisa A Maier, Sonia M Leach, Brian P O'Connor, Nabeel Y Hamzeh,

<h4>Introduction</h4>Sarcoidosis is a multiorgan granulomatous disorder thought to be triggered and influenced by gene-environment interactions. Sarcoidosis affects 45-300/100 000 individuals in the USA and has an increasing mortality rate. The greatest gap in knowledge about sarcoidosis pathobiology is a lack of understanding about the underlying immunological mechanisms driving progressive pulmonary ... Read more >>

BMJ Open (BMJ open)
[2021, 11(11):e056841]

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The Use of Chitotriosidase as a Marker of Active Sarcoidosis and in the Diagnosis of Fever of Unknown Origin (FUO).

Angela Maria Di Francesco, Elena Verrecchia, Ludovico Luca Sicignano, Maria Grazia Massaro, Daniela Antuzzi, Marcello Covino, Giuliana Pasciuto, Luca Richeldi, Raffaele Manna,

Sarcoidosis is a multi-organ inflammatory granulomatosis with a lung-predominant involvement. The aim of this study was to investigate the use of serum chitotriosidase (CHIT1) in patients with fever of unknown origin (FUO); the patients with confirmed diagnosis of active sarcoidosis were compared with ones affected by inactive or treated sarcoidosis. ... Read more >>

J Clin Med (Journal of clinical medicine)
[2021, 10(22):]

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Interleukin-1 blockade in cardiac sarcoidosis: study design of the multimodality assessment of granulomas in cardiac sarcoidosis: Anakinra Randomized Trial (MAGiC-ART).

Jordana Kron, Thomas Crawford, Virginia Mihalick, Frank Bogun, Jennifer H Jordan, Todd Koelling, Huzaefah Syed, Aamer Syed, Thomas Iden, Kelly Polly, Emily Federmann, Kirsta Bray, Sangeeta Lathkar-Pradhan, Shilpa Jasti, Lynda Rosenfeld, David Birnie, Melissa Smallfield, Le Kang, Alpha Berry Fowler, Amy Ladd, Kenneth Ellenbogen, Benjamin Van Tassell, W Gregory Hundley, Antonio Abbate,

<h4>Background</h4>Sarcoidosis is an inflammatory disease characterized by the formation of granulomas, which involve the heart in up to 25% of patients. Cardiac sarcoidosis can lead to life threatening arrhythmias and heart failure. While corticosteroids have been used as a treatment for over 50 years, they are associated with hypertension, diabetes, and ... Read more >>

J Transl Med (Journal of translational medicine)
[2021, 19(1):460]

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The Association between Sarcoidosis and Ischemic Heart Disease—A Healthcare Analysis of a Large Israeli Population

Tal Gonen, Daphna Katz-Talmor, Howard Amital, Doron Comaneshter, Arnon D. Cohen, Shmuel Tiosano,

(1) Background: Inflammation plays a pivotal role in atherosclerosis, and the association between chronic inflammatory states and ischemic heart disease (IHD) has been shown in several rheumatic diseases. Persistent inflammation might also be a risk factor for IHD in sarcoidosis patients. (2) Methods: Demographic and clinical data of 3750 sarcoidosis ... Read more >>

J Clin Med (Journal of clinical medicine)
[2021, 10(21):]

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Sarcoidosis among US Hispanics in a Nationwide Registry.

Ayoub Innabi, Bashar N Alzghoul, Saminder Kalra, Tamara Al-Hakim, Mindy Buchanan, Tricha Shivas, Wei Xue, Diana Gomez-Manjarres, Divya C Patel,

<h4>Background</h4>Sarcoidosis has been well studied in multiple races and ethnic groups. However, there is a paucity of data that describes sarcoidosis in Hispanics. We aimed to determine the prevalence of Hispanic ethnicity, clinical characteristics and impact of sarcoidosis among Hispanics from a US based national registry.<h4>Methods</h4>We conducted a national registry-based ... Read more >>

Respir Med (Respiratory medicine)
[2021, 190:106682]

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[Sarcoidosis in head and neck area - a diagnostic challenge using the example of skin manifestations].

Thorsten Send, Christian Jansen, Klaus W Eichhorn, Thomas Bieber, Thorsten Hornung,

<h4>Background</h4> Sarcoidosis is a granulomatous multisystem disease of unknown etiology and relatively rare. The heterogeneous clinical picture is a diagnostic challenge. We are investigating whether the superficially visible cutaneous lesions can lead to the differential diagnosis of sarcoidosis and what systemic manifestations are present.<h4>Material and methods</h4> As part of our exploratory retrospective ... Read more >>

Laryngorhinootologie (Laryngo- rhino- otologie)
[2021, :]

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Leveraging internet search data to assess prevalence, interest, and unmet needs of sarcoidosis in Germany.

Charlotte Hilker, Linda Tizek, Melvin Rüth, Maximilian Schielein, Tilo Biedermann, Alexander Zink,

Sarcoidosis is a multisystemic disease of connective tissue with granuloma formation of unknown etiology and unclear prevalence. Internet search data has been shown to correlate with disease incidences and the population's interest as well as seasonal variations. Accordingly, aim of this study was to leverage internet search data on sarcoidosis-related ... Read more >>

Sci Rep (Scientific reports)
[2021, 11(1):20841]

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Risk of cancer among sarcoidosis patients with biopsy-verified non-necrotizing granulomatous inflammation: Population-based cohort study.

Mikkel Faurschou, Lars H Omland, Niels Obel, Jesper Lindhardsen, Bo Baslund,

<h4>Objective</h4>To assess the long-term risk of hematologic cancers, invasive solid tumors, and nonmelanoma skin cancer (NMSC) among sarcoidosis patients with biopsy-verified non-necrotizing granulomatous inflammation.<h4>Methods</h4>We used Danish administrative registers with nationwide coverage to construct a cohort of 3892 sarcoidosis patients and an age- and gender-matched comparison cohort of 38.920 population-controls. For ... Read more >>

J Rheumatol (The Journal of rheumatology)
[2021, :]

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Barriers to Care among Patients with Sarcoidosis: A Qualitative Study.

Logan J Harper, Gabrielle Love, Rijuta Singh, Andre Smith, Daniel A Culver, J Daryl Thornton,

<b>Rationale:</b> Lower-income patients with sarcoidosis experience worse outcomes than those with higher incomes. The reasons for these disparities are not well understood. <b>Objectives:</b> To identify patient-reported barriers to and facilitators of self-empowered care among patients with sarcoidosis residing in high- and low-median-income zip-code areas. <b>Methods:</b> Patients with biopsy-proven sarcoidosis who ... Read more >>

Ann Am Thorac Soc (Annals of the American Thoracic Society)
[2021, 18(11):1832-1838]

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Hospitalizations in Sarcoidosis: A Cohort Study of a Universal Healthcare Population.

Lee M Fidler, Andrea Gershon, Jolene H Fisher, Matthew B Stanbrook, Teresa To, Meyer Balter,

<b>Rationale:</b> Population-based analyses of hospitalization rates from countries with universal healthcare systems are lacking for patients with sarcoidosis. <b>Objectives:</b> To evaluate the long-term trends in hospitalization rates and risk factors for hospitalization in patients with sarcoidosis in Ontario, Canada. <b>Methods:</b> We performed a cohort study using health administrative data from ... Read more >>

Ann Am Thorac Soc (Annals of the American Thoracic Society)
[2021, 18(11):1786-1794]

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Dual intestinal parasitosis unmasked by treatment for gastrointestinal sarcoidosis.

Olutobi Ojuawo, Thidar Htwe, Sakaria Farah, Dominic King, Imtiaz Ahmed,

The symptoms and complications of intestinal parasitosis can occur with long-term corticosteroid therapy. We highlight the case of a young man who developed chronic gastrointestinal (GI) symptoms of diarrhea, crampy abdominal pain, and vomiting while on treatment for multisystemic sarcoidosis with corticosteroids. His symptoms were initially thought to be related ... Read more >>

IDCases (IDCases)
[2021, 26:e01334]

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Differences in disease presentation between men and women with sarcoidosis: A cohort study.

Amanda Lundkvist, Susanna Kullberg, Elizabeth V Arkema, Kerstin Cedelund, Anders Eklund, Johan Grunewald, Pernilla Darlington,

<h4>Background</h4>Sarcoidosis is an elusive disease due to its heterogeneity. It is well recognized that the clinical picture is dependent on ethnicity, organ involvement and age. However, data on the role of sex is inconsistent. We aimed to study the gender-related differences in disease presentation in Swedish patients with sarcoidosis.<h4>Subjects and ... Read more >>

Respir Med (Respiratory medicine)
[2021, 191:106688]

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EBUS versus EUS-B for diagnosing sarcoidosis: The International Sarcoidosis Assessment (ISA) randomized clinical trial.

Laurence M M Crombag, Kirsten Mooij-Kalverda, Artur Szlubowski, Maciej Gnass, Kurt G Tournoy, Jiayuan Sun, Masahide Oki, Maarten K Ninaber, Daniel P Steinfort, Barton R Jennings, Moishe Liberman, Semra Bilaceroglu, Peter I Bonta, Daniël A Korevaar, Rocco Trisolini, Jouke T Annema,

<h4>Background and objective</h4>Endosonography with intrathoracic nodal sampling is proposed as the single test with the highest granuloma detection rate in suspected sarcoidosis stage I/II. However, most studies have been performed in limited geographical regions. Studies suggest that oesophageal endosonographic nodal sampling has higher diagnostic yield than endobronchial endosonographic nodal sampling, ... Read more >>

Respirology (Respirology (Carlton, Vic.))
[2021, :]

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Clinical Characteristics of Sarcoidosis Patients with Self-Reported Lymphoma: A US Nationwide Registry Study.

Bashar N Alzghoul, Yazan Zayed, Ahmad Obeidat, Bara Alzghoul, Abdallah Naser, Abdul-Rahim Shilbayeh, Ayoub Innabi, Tamara Al-Hakim, Mindy Buchanan, Borna Mehrad, Divya C Patel,

<h4>Purpose</h4>Little is known about the association between sarcoidosis and lymphoma. We aim to determine the prevalence of lymphoma in US sarcoidosis patients and compare the clinical characteristics of patients with and without lymphoma.<h4>Methods</h4>Using a national registry-based study investigating 3560 respondents to the Foundation for Sarcoidosis Research Sarcoidosis Advanced Registry for ... Read more >>

Lung (Lung)
[2021, 199(6):611-618]

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Sarcoidosis with secondary recurrent right-sided chylothorax and chylous ascites in a Caucasian male patient.

Sujaay Hari Jagannathan, Caleb M Winn, Arun P Nayar, Ghassan J Koussa, Carol A Brenner,

Sarcoidosis is a rare multisystem autoimmune disease characterized by the presence of non-caseating granulomas in involved organs. We report a novel case of a 61-year-old Caucasian male with sarcoidosis presenting with recurrent chylothorax and chylous ascites. Pleural and ascitic fluid analysis revealed high triglyceride levels, consistent with chylothorax and chylous ... Read more >>

Oxf Med Case Reports (Oxford medical case reports)
[2021, 2021(10):omab098]

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