91. The Uninvited Granulomas - An Approach to Sarcoidosis
May 30, 2021
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Learn all about Sarcoidosis, a disease of non-caseating granulomas that can appear in different parts of the body. Explore the associated symptoms like Heerfordt's Syndrome and Lofgren's Syndrome. Discover how diagnosis and treatment are approached in this systemic condition.
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Quick takeaways
Sarcoidosis forms non-caseating granulomas triggered by an overactive immune response.
Diagnostic approach involves blood work, imaging, and biopsy for sarcoidosis affecting multiple organs.
Deep dives
The Formation of Granulomas in Sarcoidosis
Sarcoidosis triggers an overactive immune response leading to non-caseating granulomas. When exposed to unknown antigens, CD4 cells secrete cytokines to form these protective granulomas. Unlike caseating granulomas from tuberculosis, sarcoidosis granulomas do not destroy cells, affecting various organs like lymph nodes, lungs, eyes, and skin.
Risk Factors, Symptoms, and Diagnosis of Sarcoidosis
Factors like wood burning, occupations, and genetic mutations increase sarcoidosis risk. Patients, typically 25-45 years old, may present with hyalur adenopathy and pulmonary infiltrates. Symptoms range from cough and dyspnea to skin rashes and cardiac abnormalities, requiring a thorough diagnostic approach involving blood work, imaging, and biopsy.
Treatment Approaches for Sarcoidosis
Treating sarcoidosis depends on disease stage and organ involvement. While stage 1 often resolves spontaneously, advanced stages may require immunosuppression like prednisone. Biologics targeting TNF-alpha show promise in severe cases, improving lung function and symptoms. An individualized treatment plan is crucial based on patient response and side effects.
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Understanding Sarcoidosis: The Uninvited Granulomas
In this episode, we talk all about Sarcoidosis. This disease is one of non-caseating granulomas. Though most typically found in the lungs and lymph nodes, Sarcoidosis can be found anywhere in the body. It is associated with two main symptoms - Heerfordt's Syndrome and Lofgren's Syndrome. Tune in to listen to how we diagnosis and treat sarcoidosis.
Episode written by: Dr. Julie Semenchuk Reviewed by: Dr. Chris Li (Respirology) and Dr. James Rassos Associated Infographic by: Shannon Gui (Medical Student) Sound Editing by: Nathan Doupnik www.theinternatwork.com