Pulmonary and Critical Care Fellow, Department of Pulmonary and Critical Care Medicine, University Health Hospital, University of Missouri-Kansas City, Kansas City, Missouri.
Assistant Professor, Pulmonary and Critical Care Fellow, Department of Pulmonary and Critical Care Medicine, University Health Hospital, University of Missouri-Kansas City, Kansas City, Missouri.
Mo Med. 2024 Sep-Oct;121(5):373-378.
Sarcoidosis is a disease hallmarked by granulomatous inflammation of nearly all organ systems. Though it has been widely recognized for over 100 years, much remains unknown about the etiology and pathophysiology of the disease. Due in part to this is ambiguity, diagnosis and treatment, algorithms have been difficult to create and even harder to develop a strong evidence base for. In this article, we attempt to consolidate the guidelines, recommendations, and algorithms provided by multiple societies across the US and abroad. We have assembled these into a concise quick-reference format article for those looking for a cohesive approach to the diagnosis and management of sarcoidosis, including when it doesn't respond to initial therapy. We also delve into a new and promising treatment that is in the investigation pipeline, but not yet ready for implementation.
结节病是一种以几乎所有器官系统肉芽肿性炎症为特征的疾病。尽管它已经被广泛认识了 100 多年,但对于这种疾病的病因和病理生理学仍然知之甚少。部分由于这种模糊性,诊断和治疗算法很难创建,甚至更难为其建立坚实的证据基础。在本文中,我们试图整合来自美国和其他国家的多个学会提供的指南、建议和算法。我们将这些内容整理成一篇简明的快速参考格式文章,供那些希望采用连贯方法诊断和管理结节病的人参考,包括在初始治疗后无反应的情况。我们还深入探讨了一种新的、有前途的治疗方法,该方法正在研究中,但尚未准备好实施。