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Disease SARCOIDOSIS
   
Quotation “Shall I refuse my dinner because I do not fully understand the process of digestion?”
   
Definition Is a chronic multi-system disorder of unknown etiology with derangement of tissue architecture with granulomatous and cellular accumulations. Lung involvement occurs in 90% of patients.
   
Prognosis 50% remit spontaneously. 40% take a year to remit. 10% progress ot fibrosis of which a few develop bullous lesions in upper lobe, develop aspergiloma, recurrent infections and haemoptysis. About 5% die due to pulmonary insufficiency.
   
Follow Up Ophthalmic check for prolonged chloroquin therapy.
   
Inadequate Response Immunosuppressives for non-responders to steroids.
   
Reference From Website: www.njc.org/medfacts/sarcoid.html
   

 

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