Organ involvement and assessment in sarcoidosis

Author:

Janssen Marlou T.H.F.1,Landewé Robert B.M.23,Post Marco C.45,Erckens Roel J.6,Mostard Rémy L.M.17

Affiliation:

1. Department of Pulmonology

2. Department of Rheumatology, Zuyderland Medical Centre, Heerlen, Limburg

3. Department of Clinical Immunology & Rheumatology, Amsterdam Rheumatology Centre, Amsterdam

4. Department of Cardiology, St. Antonius Hospital Nieuwegein and Utrecht

5. Department of Cardiology, University Medical Centre Utrecht, Utrecht

6. Department of Ophthalmology

7. Department of Pulmonology, Maastricht University Medical Centre+, Maastricht, Limburg, The Netherlands

Abstract

Purpose of review In recent years new recommendations have been published about organ assessment in the diagnosis of sarcoidosis. Recent findings Screening for pulmonary, cardiac, ocular, neurologic and renal involvement and hypercalcemia is recommended in the work-up for sarcoidosis, additionally, screening for hypercalciuria at the time of the diagnosis might be beneficial. Summary One of the goals in the work-up of sarcoidosis is to assess the extent and severity of organ involvement. Timely and accurate assessment leads to determination of treatment indication. Screening for pulmonary involvement should include pulmonary imaging and pulmonary function tests. Screening for cardiac involvement should include a clear history including palpitations and collapse and a baseline electrocardiogram or 24-h Holter monitoring. At diagnosis, ophthalmological assessment is recommended. Furthermore, serum calcium level and serum creatinine level should be obtained. Although routine 24-h urinary calcium excretion is not included in the guidelines, performing this test routinely can be considered. On indication, neurologic, rheumatologic or dermatologic assessment can be performed.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Pulmonary and Respiratory Medicine

Reference40 articles.

1. Diagnosis and detection of sarcoidosis. An official American thoracic society clinical practice guideline;Crouser;Am J Respir Crit Care Med,2020

2. Case Control Etiologic Study of Sarcoidosis (ACCESS) research group. Clinical characteristics of patients in a case control study of sarcoidosis;Baughman;Am J Respir Crit Care Med,2001

3. Sarcoidosis: causes, diagnosis, clinical features, and treatments;Jain;J Clin Med,2020

4. Sarcoidosis;Grunewald;Nat Rev Dis Primers,2019

5. Autoimmune big data study group. Geoepidemiological big data approach to sarcoidosis: geographical and ethnic determinants;Brito-Zerón;Clin Exp Rheumatol,2019

Cited by 3 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3