THE PROBLEM OF RECURRENCE OF SARCOIDOSIS IN THE PRACTICE OF OUTPATIENT PHYSICIAN

Abstract

The aim: generalize the experience of detection and treatment of recurrence of sarcoidosis in outpatient practice. Materials and methods. We investigated the clinical, laboratory and instrumental results in the cards of 178 patients with recurrence of biopsy-proven sarcoidosis and identified in Kursk from 1997 to 2014. Using cluster analysis (K-means method) selected 3 types of relapse of sarcoidosis. Results: The type A of the recurrence of sarcoidosis is characterized by a specific x-ray features in the form of increased intrathoracic lymph nodes without destruction of lung tissue, seasonality manifestations, favorable response to the drug-free dynamic tactic dispensary observation. The type B is characterized by a typical mandatory involvement of the lung tissue, the presence of respiratory distress with a predominance of restriction, frequent need to assign corticosteroids. The type C marked by the appearance of watercooling lesions, occurs in patients with a tendency to chronicity of the process and the formation of a pronounced residual changes with great frequency tolerant to conventional therapy. Conclusions: Thus, typing recurrence of sarcoidosis optimise volume surveys at activation of sarcoidosis and tactics of treatment.

Keywords

• sarcoidosis
• the type of recurrence
• corticosteroid