Abstract:
:Sarcoidosis is an immune-mediated systemic syndrome of unknown etiology. The treatment of the granulomatous inflammation in sarcoidosis is thus dependent on nonspecific suppression of the immune response. Although steroid-sparing approaches have moved to front-line therapy for many other immune-mediated inflammatory diseases, corticosteroids remain the initial treatment of choice for most patients with sarcoidosis due in large part to the clinical variability and high rates of spontaneous remission. Given the heterogeneity of clinical phenotypes between patients, treatment approaches must be individualized. For patients with persistent disease, or for patients who are intolerant of systemic steroids, there are several steroid-sparing immune-modulating medications that have been effective for treating sarcoidosis. Besides immunosuppressives, we will also overview several sarcoidosis-related issues that contribute to patient-reported symptoms, a "sarcoidosis penumbra." Recognition and judicious therapy for these related issues are often key to optimizing outcomes and quality of life.
journal_name
Semin Respir Crit Care Medjournal_title
Seminars in respiratory and critical care medicineauthors
Lazar CA,Culver DAdoi
10.1055/s-0030-1262218subject
Has Abstractpub_date
2010-08-01 00:00:00pages
501-18issue
4eissn
1069-3424issn
1098-9048journal_volume
31pub_type
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journal_title:Seminars in respiratory and critical care medicine
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pub_type: 杂志文章,评审
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pub_type: 杂志文章,评审
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doi:10.1055/s-2001-13839
更新日期:2001-01-01 00:00:00
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pub_type: 杂志文章
doi:10.1055/s-2000-9402
更新日期:2000-01-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2009-02-01 00:00:00
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