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Features of the course and diagnosis of chronic sarcoidosis

https://doi.org/10.18705/2311-4495-2024-11-1-6-18

EDN: AFQHOM

Abstract

   Sarcoidosis is a systemic inflammatory disease of unknown etiology with a wide range of clinical manifestations. The annual incidence ranges from 1 to 15 per 100,000 population. Due to the lack of specific clinical features, the diagnosis of this disease is still challenging. The significant variability in clinical presentations and target organs, as well as concomitant diseases, greatly complicate the diagnostic search and make sarcoidosis a diagnosis of exclusion. This article discusses a clinical case of a patient with generalized chronic sarcoidosis and provides a review and analysis of the current literature on this issue. At the moment, there is no biomarker or combination of biomarkers that would reliably predict the development and spread of the pathological process.

About the Authors

E. E. Berg
Almazov National Medical Research Centre
Russian Federation

Elizaveta E. Berg, 6-th year student

medical faculty

197341; ul. Akkuratova d. 2; Saint Petersburg

tel.: +79658149803



I. V. Kudryavtsev
Scientific Research Institute of Experimental Medicine
Russian Federation

Igor V. Kudryavtsev, PhD., Head of laboratory

Institute of Experimental Medicine; laboratory of cellular immunology

Saint Petersburg



D. A. Kudlay
Sechenov First Moscow State Medical University; National Research Center — Institute of Immunology Federal Medical- Biological Agency; Lomonosov Moscow State University
Russian Federation

Dmitry A. Kudlay DMedSci, MD, corresponding member of the Russian Academy of Sciences, Professor, Professor of the Department, Leading Researcher

Institute of Pharmacy; Department of Pharmacology; Faculty of Fundamental Medicine; Department of Pharmacognosy
and Industrial Pharmacy; NRC Institute of Immunology; Laboratory of Personalized Medicine and Molecular Immunology

115552; Kashirskoye highway; Moscow

Scopus AuthorID: https://www.scopus.com/authid/detail.uri?authorId=57225772840

tel.: +79857610237



A. A. Starshinova
Almazov National Medical Research Centre
Russian Federation

Anna A. Starshinova, DMedSci, MD, pulmonologist,
Head of the department

research department

197341; Akkuratova str., 2; Saint Petersburg

email: starshinova_777@mail.ru

tel.: +79052043861



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24. Перенести в английский вариант

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27. Schupp JC, Freitag-Wolf S, Bargagli E, et al. Phenotypes of organ involvement in sarcoidosis. Eur Respir J. 2018; 51(1):1700991. DOI: 10.1183/13993003.00991-2017.

28. Newman LS, Rose CS, Bresnitz EA, et al. A case control etiologic study of sarcoidosis: environmental and occupational risk factors. Am J Respir Crit Care Med. 2004;170(12):1324–30. DOI: 10.1164/rccm.200402-249OC.

29. Starshinova A, Zinchenko Y, Malkova A, et al. Sarcoidosis and Autoimmune Inflammatory Syndrome Induced by Adjuvants. Life (Basel). 2023;13(4):1047. DOI: 10.3390/life13041047.

30. Polverino F, Balestro E, Spagnolo P. Clinical Presentations, Pathogenesis, and Therapy of Sarcoidosis: State of the Art. J Clin Med. 2020; 9(8):2363. DOI: 10.3390/jcm9082363.

31. Starshinova AA, Malkova АM, Zinchenko YuS, et al. Autoimmune component in the etiology of sarcoidosis. uberculosis and Lung Diseases, 2020, Vol. 98, No. 5, P. 54–62. In Russian DOI: 10.21292/2075-1230-2020-98-5-54-62.

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33. Crouser ED, Maier LA, Wilson KC, et al. Diagnosis and Detection of Sarcoidosis. An Official American Thoracic Society Clinical Practice Guideline. Am J Respir Crit Care Med. 2020; 201(8):e26–e51. DOI: 10.1164/rccm.202002-0251ST.

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38. Ramos-Casals M, Retamozo S, Sisó-Almirall A, et al. Clinically-useful serum biomarkers for diagnosis and prognosis of sarcoidosis. Expert Rev Clin Immunol. 2019; 15(4):391–405. DOI: 10.1080/1744666X.2019.1568240.

39. Zhou Y, Chen X, Zhao M, et al. SACE and IL-2R as serum biomarkers for evaluation of multi-organ involvement and prognosis of sarcoidosis. Respir Res. 2023; 24(1):219. DOI: 10.1186/s12931-023-02524-0.

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41. Sève P, Pacheco Y, Durupt F, et al. Sarcoidosis: A Clinical Overview from Symptoms to Diagnosis. Cells. 2021; 10(4):766. DOI: 10.3390/cells10040766.

42. Ramirez R, Trivieri M, Fayad ZA, et al. Advanced Imaging in Cardiac Sarcoidosis. J Nucl Med. 2019; 60(7):892–898. DOI: 10.2967/jnumed.119.228130.

43. Al Hayja MA, Vinjamuri S. Cardiac sarcoidosis: the role of cardiac MRI and 18F-FDG-PET/CT in the diagnosis and treatment follow-up. Br J Cardiol. 2023; 30(1):7. DOI: 10.5837/bjc.2023.007.

44. Strambu IR. Challenges of cardiac sarcoidosis. Front Med (Lausanne). 2023; 10:999066. DOI: 10.3389/fmed.2023.999066.

45. Vender RJ, Aldahham H, Gupta R. The role of PET in the management of sarcoidosis. Curr Opin Pulm Med. 2022; 28(5):485–491. DOI: 10.1097/MCP.0000000000000892.

46. Kim J, Dwivedi G, Boughton BA, et al. Advances in cellular and tissue-based imaging techniques for sarcoid granulomas. American Journal of Physiology-Cell Physiology. 2024; 326(1):C10–C26. DOI: 10.1152/ajpcell.00507.2023.

47. Tana C, Donatiello I, Caputo A, et al. Clinical Features, Histopathology and Differential Diagnosis of Sarcoidosis. Cells. 2021 Dec 26;11(1):59. DOI: 10.3390/cells11010059.


Review

For citations:


Berg E.E., Kudryavtsev I.V., Kudlay D.A., Starshinova A.A. Features of the course and diagnosis of chronic sarcoidosis. Translational Medicine. 2024;11(1):6-18. (In Russ.) https://doi.org/10.18705/2311-4495-2024-11-1-6-18. EDN: AFQHOM

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ISSN 2311-4495 (Print)
ISSN 2410-5155 (Online)