What is the therapy for sarcoid
Sarcoidosis (Boeck's disease)
What is Sarcoid?
Sarcoid, also called Boeck's disease or Schaumann-Besnier's disease, is an inflammatory disease that leads to a nodular tissue growth. The small, benign nodules can form in all organs and are probably related to an excessive reaction of the immune system. Sarcoid is not contagious and has a good chance of recovery.
Sarcoid is a rare disease. There are around 100,000 people affected across Germany. It usually occurs at a young age, especially between the ages of 20 and 40, and more often in women. The most common organs that can be affected by sarcoid are the lungs and lymph nodes. But the liver, heart, skin, brain and eyes can also be affected.
What are the causes of sarcoidosis?
The genesis of sarcoid has been completely clarified to this day. The fact that they occur in families suggests a genetic component. Certain genetic changes have been associated with a significantly increased risk of sarcoid in recent years. Although pathogens could also trigger the inflammatory reaction, this has not yet been confirmed.
Sarcoid can be divided into an acute and a chronic form according to its symptoms. The acute form, also known as Löfgren's syndrome, is accompanied by an acute onset, which is accompanied by fever, joint problems and a strong feeling of illness.
The chronic form of sarcoid is insidious and can manifest itself in many different complaints, which makes a diagnosis difficult. Symptoms usually only appear at an advanced stage.
- dry, irritating cough
- Difficulty breathing during exertion
- Skin changes such as nodules on the legs (erythema nodosum)
- Swelling of the lymph nodes
- Inflammation of the liver
In rare cases, the brain can also be affected. This is accompanied by headaches and possibly nerve failures.
How is sarcoid diagnosed?
Sarcoid is often discovered by chance during an X-ray examination. If this is suspected, further examinations must be carried out to localize the focus of the disease. This includes an intensive physical examination, a chest x-ray, a lung function analysis and a Bronchoscopy (Viewing the lungs through the camera tube). Blood values can also indicate an inflammatory process. To exclude others Lung disease how Lung cancer or tuberculosis a computed tomography is carried out.
Sarcoid Therapy and Cure
Treatment for sarcoid is not always necessary. The acute form usually heals on its own within several weeks. The doctor can prescribe various pain relievers for the pain.
The chronic form of sarcoid can also recede independently within several years. During this time, regular checks by an internist (specialist in internal medicine) are necessary.
If the sarcoid worsens or if the heart and brain are affected, drug therapy is given. This includes the administration of cortisone preparations. This is an anti-inflammatory agent that is also produced in the body.
If this is not enough, there is the possibility of using immunosuppressants. However, these immune-weakening drugs are associated with various and severe side effects, which is why the internist only orders the use of immunosuppressants in particularly severe cases.
Course and life expectancy in sarcoid
With acute sarcoid, I have very good chances of recovery of 95% in a few weeks. In the majority of cases, the chronic form also heals after years.
In some cases, however, severe organ damage or death can occur without treatment. Therefore, the right therapy at the right time is extremely important. You are best off with a sarcoid specialist.
In the case of pulmonary sarcoidosis, permanent lung damage and fibrous remodeling of the lungs can occur in 20% of cases Pulmonary fibrosis , come. Timely therapy is also necessary here to prevent this.
Arastéh, Keikawus; Baenkler, Hanns-Wolf: Internal medicine. 2., completely revised and exp. Edition Stuttgart: Thieme 2009.
Herold, Gerd: Internal medicine. Cologne, self-published 2012.
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