Sarcoidosis
Protocols
Clinical Features:
- Chest pain.
- Shortness of breath (dyspnea)
- Fainting (syncope)
- Fatigue.
- Irregular heartbeats (arrhythmias)
- Rapid or fluttering heart beat (palpitations)
- Swelling caused by excess fluid (edema)
Investigations:
1) X-ray chest:
X-ray chest shows hilar adenopathy, nodular or
fibrous infiltration of both lungs.
2) Mantoux test
3)Biopsy of lymph nodes and skin shows noncasea-
ting epithelioid cell granuloma.
Note:
- Occasionally skin, bone, uveal tract, salivary glands and myocardium are also involved.
- Often asymptomatic inspite of gross pulmonary changes.
🏵️Rx:
1. Spontaneous resolution is common. Asympto-matic, non-progressive cases do not need treatment.
2. For progressive symptomatic cases.
3.Tab.Cortan([post id="479" title="Prednisolone"])(20mg)
1+0+1.......1month then
1/2+0+1/2.......7 days
1/2+0+0......7 days
4. Cap.Sergel([post id="392" title="Esomeprazole"]) (20mg)
1+0+1....(30mim before meal)......2 month