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Suggest Treatment For Pulmonary Sarcoidosis

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Posted on Tue, 18 Nov 2014
Question: I have just been told I have sarcoidosis after having a biopsy on Tuesday I am going to see a specialist next Tuesday to discuss treatment !! I was wondering what sort of treatment it would entail ? I have the sarcoids in my lungs!!

Thankyou XXXXXXX
doctor
Answered by Dr. Het Ram Bishnoi (1 hour later)
Brief Answer:
Pulmonary Sarcoidosis (lungs )

Detailed Answer:
Hello XXXX
As you mentioned that after biopsy diagnosis is established and now it is the treatment .
In brief about sarcoidosis in lungs ,known as pulmonary sarcoidosis .
However , different doctors have their own choice of treatment depending on severity of symptoms and condition of patient .
This is a standard regime for PULMONARY SARCOIDOSIS.
Oral corticosteroids are the mainstay in the treatment of pulmonary sarcoidosis :
-Treatment w/oral corticosteroids usually results in improvement of lungs symptoms , lung function studies & chest X-ray findings
.Reappearance of symptoms & chest X ray abnormalities are FREQUENT after discontinuation of treatment.
-A meta-analysis concluded that corticosteroid use in pulmonary sarcoidosis results in improvement of chest X ray & spirometry over 6-24 months , but there is minimal proof of improvement in lung function.
=It is not clear that whether these improvement are maintained beyond 2 years.
=It is not known whether corticosteorid improve long-tem pulmonary function or favorably alter disease progression .
-Corticosteroid use should be reserved for those w/clear clinical indication because of
.The known potential toxicity of corticosteroids
.Lack of evidence of sustained benefit.
Above mentioned treatment is a standard treatment and OTHER pharmacological agents :
==Cytotoxic agents
May benefit pts who fail to respond to steroids.
Usually given in combination w/steroids but sometimes are given themselves.
==Azathioprine
==methotraxate
==Other agents as Chlorambucil.
Immunomodulators .
Follow up and monitoring of treatment is also important.
However above mentioned is in DETAIL , but it was necessary in your case before commencement of treatment for sarcoidosis ( lungs ).
Hope , you will recover soon.
Further any question I will reply in follow up.
Good luck.
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
Answered by
Dr.
Dr. Het Ram Bishnoi

General & Family Physician

Practicing since :1978

Answered : 6271 Questions

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Suggest Treatment For Pulmonary Sarcoidosis

Brief Answer: Pulmonary Sarcoidosis (lungs ) Detailed Answer: Hello XXXX As you mentioned that after biopsy diagnosis is established and now it is the treatment . In brief about sarcoidosis in lungs ,known as pulmonary sarcoidosis . However , different doctors have their own choice of treatment depending on severity of symptoms and condition of patient . This is a standard regime for PULMONARY SARCOIDOSIS. Oral corticosteroids are the mainstay in the treatment of pulmonary sarcoidosis : -Treatment w/oral corticosteroids usually results in improvement of lungs symptoms , lung function studies & chest X-ray findings .Reappearance of symptoms & chest X ray abnormalities are FREQUENT after discontinuation of treatment. -A meta-analysis concluded that corticosteroid use in pulmonary sarcoidosis results in improvement of chest X ray & spirometry over 6-24 months , but there is minimal proof of improvement in lung function. =It is not clear that whether these improvement are maintained beyond 2 years. =It is not known whether corticosteorid improve long-tem pulmonary function or favorably alter disease progression . -Corticosteroid use should be reserved for those w/clear clinical indication because of .The known potential toxicity of corticosteroids .Lack of evidence of sustained benefit. Above mentioned treatment is a standard treatment and OTHER pharmacological agents : ==Cytotoxic agents May benefit pts who fail to respond to steroids. Usually given in combination w/steroids but sometimes are given themselves. ==Azathioprine ==methotraxate ==Other agents as Chlorambucil. Immunomodulators . Follow up and monitoring of treatment is also important. However above mentioned is in DETAIL , but it was necessary in your case before commencement of treatment for sarcoidosis ( lungs ). Hope , you will recover soon. Further any question I will reply in follow up. Good luck.