Sarcoidosis Answers for Physicians, Nurses and Patients

Here at SarcInfo, between 2002 and 2004, we identified the cause of Sarcoidosis, and successfully trialled a curative antimicrobial therapy. During 2005 and 2006 the US FDA designated the antibiotics Clindamycin and Minocycline as Orphan Products in the treatment of Sarcoidosis, and studies are ongoing elsewhere.

For information about this breakthrough, please post your questions at the current study-sites of the Autoimmunity Research Foundation.
 
This archive of the historic study is maintained by volunteers from the Foundation. The material here provides useful background, but most of this site is now out-of-date.

 

** Patient Tutorials **

 Click here to read "WHY DID I GET SARCOIDOSIS? WHY ME? 

  Click here to read "REMISSION IN SARCOIDOSIS"  

 How a Pathologist can see Bacteria causing Sarcoidosis 

"How does Doctor measure my ACE, and my D-metabolites?"

 Weaning from Prednisone

 Protecting your eyes in Sarcoidosis

Vit.D and Calcium in Sarcoidosis

Hypervitaminosis D Symptoms    The SarcInfo F.A.Q.

Medical Abbreviations          CBC Radio Show

Protocol Phase 1-First 3 months

 

** Papers for Physicians **

Antibacterial Therapy induces Remission 

Implications for Autoimmune Disease 
(Here is Fulltext preprint)

Antibacterial mechanisms for ARBs 

Antibiotics in Sarcoidosis- The 1st Year 

Rationale for abx in Sarcoidosis 

1,25-D and Angiotensin II

"New Treatments Emerge.."

Jarisch-Herxheimer in Sarcoidosis

Vit.D and Calcium in Sarcoidosis

Protocol Phase 1-First 3 months

The NIH ACCESS Study finds Sarcoidosis does not go away - Click here to see, and print, the brochure


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 healthcare workers and sarcoid (archive thread)
Author: Becky (---.tampabay.rr.com)
Date:   03-05-02 07:17

Does anyone know of any studies that have been done regarding a relationship between people who work in the medical field and sarcoidosis. I know several nurses, techs, and even a medical records employee who have sarcoidosis. On another site, someone said there was a study done regarding environment/sarcoidosis, but that the results did not show an abnormally high incidence of medical workers with this disease. I'm curious as to when this study was done and what the results were. So far, I can't locate any information at all pertaining to this. We could possibly help those affected with this disease if some of these pieces of the puzzle could be put together.

 
 Re: healthcare workers and sarcoid
Author: Ken (---.proxy.aol.com)
Date:   03-05-02 18:12

Since there is not ONE identifiable causation for sarc, most docs believe there are multiple causes that are not identified as a result of insufficient tests. Here is a summary of one study as it pertains to help care workers. It is believed by many that since talc powder continues to be contaminated with asbestos, this may be the cause..........

Thorax 1988 Apr;43(4):342-3

Sarcoidosis in nurses: is there an association?

Edmondstone WM.

Royal Naval Hospital, Plymouth.

A retrospective survey of patients with sarcoidosis has revealed a 7.5 times greater number of nurses with the condition than expected. Nurses may be especially susceptible to sarcoidosis.

PMID: 3406926

 
 Re: healthcare workers and sarcoid
Author: Admin (---.gtecablemodem.com)
Date:   03-05-02 19:34

Ken,
I have added a link about genetic testing on the granuloma of sarcoidosis patients which found the remains of the Tuberculosis mycobacteria (it is #12 on the front page). This test has not been available in the past, and it does explain a number of cases (dating back to the '60s) when tuberculosis had progressed to sarcoidosis.

It would seem that a bacterial or viral trigger would certainly expose health care workers more than the general population. The BCG vaccination has also been suggested as a possible source of the mycobacterium, and BCGs were often adminstered routinely to health staff. The BCG still is widely used in the UK, but not so much in the USA.

..Trevor..

Here is a copy of the link: http://www.findarticles.com/cf_0/m0984/n2_v114/21081716/p1/article.jhtml

 
 Re: healthcare workers and sarcoid
Author: Ken (---.proxy.aol.com)
Date:   03-06-02 09:25

Trevor- I often think that a skin reactive test could be used to identify the source(s) of exposure(s) that result in "sarcoidosis". Similar to that used in diagnosing TB. For example.... If one has Berylliosis instead of the mis-diagnosed "sarcoidosis" I would think that a skin reactive test for beryllium sensitivity might identify that. I would think that our body would display an extra sensitivity to what it is fighting to remove elsewhere. The Klveim test attempted this but was not expanded to explore actual causes. If serums were developed from a true Silicosis, a true Berylliosis, a true Asbestiosis etc. could not a series of skin reactive tests be administered a true "sarcoidosis" patient to determine causation? Until we identify actual causation we can not identify appropriate treatments and certainly do nothing for preventions. Please give this skin idea some thought.

 
 Re: healthcare workers and sarcoid
Author: Admin (---.gtecablemodem.com)
Date:   03-06-02 10:21

Ken,
One problem with skin tests is that the tissue being tested (epidermis) is not the same degree of reactivity as the 'soft tissue' in the lungs. The type of reactivity being tested is also different. However, I do remember having an allergy screen done once and coming up with a one inch diameter welt around the "strep" test prick (streptococcus). Not sure whether that indicates anything beyond the fact that I have to put antiseptic on even the most trivial of skin cuts.

But you are right - I must have reacted to the Tuberculin test because they gave me a BCG. Hmmm. Food for thought.

The Kveim test lost favor, amongst other reasons, because it was felt that the test might cause sarcoidosis in the same way that the BCG was/is suspected of causing sarcoidosis.

..Trevor..

 
 Re: healthcare workers and sarcoid
Author: Becky (---.tampabay.rr.com)
Date:   03-06-02 12:44

The fact that I personally have seen so many people in the medical field with sarcoidosis, and also the 7.5 times greater number of nurses with sarcoid in the survey is truly alarming for all. There has to be something in the medical environment that is some type of trigger. The possibility that a TB link could be related to sarcoid sure sounds like a good place to really start looking. Seems to me that not much is being done to find out what is going on. Also, look at the number of medical professionals who treat sarcoid pts who are not knowledgeable about this disease. One of the underlying threads that I continue to read about and hear from other sarcoid pts is that they are trying to find someone who knows about this disorder. I even read recently about a psychologist who said "sarcoidosis could be an imaginary disorder by people who were frustrated",etc. Honestly,I have felt many times that I was not being taken seriously regarding what I believed to be sarcoid related problems. We all need to figure out what is going on here. Where is the research going with sarcoidosis? If knowledgeable medical help regarding sarcoidosis is so hard to find on the personal front, how can we possibly hope to fix this problem in the broader perspective through research? The interest just doesn't seem to be there.

 
 Re: healthcare workers and sarcoid
Author: Ken (---.proxy.aol.com)
Date:   03-07-02 16:49

Semin Oncol Nurs 1996 Feb;12(1):28-37

Benign lymphoproliferative disorders.

Shaffer S.

Department of Nursing, University of Kansas Medical Center, Kansas City 66018, USA.

OBJECTIVE: To provide a review of three benign lymphoproliferative disorders commonly encountered in nursing practice: (1) infectious mononucleosis, (2) cat scratch disease, and (3) sarcoidosis. DATA SOURCES: Research studies, review articles, and book chapters pertaining to benign lymphoproliferative disorders. CONCLUSIONS: Benign lymphoproliferative disorders may be associated with infections, autoimmune disorders, hypersensitivity reactions, and unknown causes. Most of these disorders are self-limiting; however, some are associated with significant morbidity and mortality. IMPLICATIONS FOR NURSING PRACTICE: Benign as well as malignant lymphoproliferative disorders will be encountered with increasing frequency by nurses in ambulatory settings. Nurses need to have a basic knowledge of these disorders that present a diagnostic and management challenge.

PMID: 8650440

 
 Re: healthcare workers and sarcoid
Author: pages2 (---.kc.rr.com)
Date:   03-07-02 19:43

Ken,
This article was written in our own backyard.

The part " lymphoproliferative disorders will be encountered with increasing frequency by nurses in ambulatory settings"

What this article needs to answer and we are all ears is why. Why will lymphoproliferative disorders be increasing in nurses?

What is it about in Nurses? The healthcare professional group though maybe thought of as large; is a close net group. To have this kind of knowledge and to not disclose it would seem to be a crime.

If the professionals can say that a disease will be increasing then doesn't that mean that they have a clue as to what the cause iS?

Patients are not allowed to stay long in the hospital because it is a known fact that they will get sick it they stay.

Maybe that goes for the health professional also, But why? Maybe if nurses knew what the exposure was as well as the risk there would be nobody to care for the sick.

 
 Re: healthcare workers and sarcoid (archive thread)
Author: Laurie Coveny-Oppy (---.modempools.net)
Date:   04-05-03 17:13

Hello, I have been told I have sarcodoisis in March 0f 2001. I was told by a skin doctor because my regular didn't know what it was and I kept itching my legs. It all started on my left leg with spots that turned bluish purple in color. I have tried everything and they gave me some steriod creams but that didn't work. I have gone back and forth for many month to a lung specalist and they have given me inhalers and they seem to work sometimes.My joints hurts some days i can't even stand myself and I keep going. I am so tired also and I don't know why I can sleep 8-10 hours and I am still tired.
Now I have knee problems and they seem to to say not sure why?
I was out of work for the past three weeks due to having a chip knee and fracture knee cap. The doctors ask me how I did this and I said going up a step. I have been a nurses aide for almost 25 years and I havee never heard of sarcodosis. I would like some to talk to who has the same thing I do.

 
 Re: healthcare workers and sarcoid (archive thread)
Author: Meg (---.188.244.147.euc.wi.charter.com)
Date:   04-05-03 17:39

Hi Laurie,

Welcome to SarcInfo. Your story is a familiar one. You've have Sarcoidosis long before your diagnosis in March of 2001 and all of the symptoms you describe can be attributed to the disease. (Read the thread on hypervitaminosis-D symptoms) This is good news because there is a new, safe, effective treatment that if followed correctly will alleviate your symptoms.

Please spend some time reading the patient tutorials and physician papers at the top of the page, the links to articles at the bottom of the page and the topic messages (threads) especially those that are starred.

There is also a search feature on the site where you can type in words and find specific intormation. Be sure to click on 'all dates' so you will get the most complete search.

If a phrase is written in bold type in a message, you can click on it to automatically get more information. Then press your back button to return to the text.

You may need a medical dictionary (you can find one online) for some of the papers but I hope you can get the basic idea of Trevor's description of sarcoidosis etiology and treatment. Let us know if you have any specific questions.

I've been a nurse for over 30 yrs and I, too, had not heard of sarcoidosis. We have a rare condition that few doctors know how to treat but you've come to the right place. Print out the papers for physicians, take them to your doctor and ask him/her to help you begin to get well

Best wishes,

Meg

 
 Re: healthcare workers and sarcoid (archive thread)
Author: pRAMILA kAUSHIK (---.maa.sify.net)
Date:   06-09-03 00:04

Dear sirs,

I am suffering from serios chest infection for last 5 months. The doctors are still confuesd about whether it is TB or Sarcoidosis. Can you pl help me how I can establish the exact nature of this problem. I would appreciate some basic information on sarcoidosis.
Thanks.

 
 Re: healthcare workers and sarcoid (archive thread)
Author: Meg (---.188.232.59.euc.wi.charter.com)
Date:   06-09-03 19:53

Hi Pramila,

Welcome to SarcInfo. Sarciodosis is diagnosed definitively with a biopsy but a presumptive diagnosis can be made based on clinical symptoms. The level of ACE is a sometime indicator and the levels of 25-D and 1,25-D will tell you if you have an inflammatory disease process going on.

Please spend some time reading the patient tutorials and physician papers at the top of the page, the links to articles at the bottom of the page and the topic messages (threads) especially those that are starred.

There is also a search feature on the site where you can type in words and find specific intormation. Be sure to click on 'all dates' so you will get the most complete search.

If a phrase is written in bold type in a message, you can click on it to automatically get more information. Then press your back button to return to the text.

You may need a medical dictionary (you can find one online). Then print out the papers for physicians and ask your doctors to help you by ordering the D-metabolites tests. If they are elevated, Trevor's protocol will help you get better.

Good luck,

Meg

 
 Lead Paint and Sarcoidosis
Author: Marian Hargis (---.113.222.80.ts46v-13.otng1.ftwrth.tx.charter.com)
Date:   07-14-04 10:20

I worked most of ten years painting automobiles from the 1977 through 1987 for an automobile manufacturer. When I first began cars were being painted with lead paint. Initially we were not required to wear paint masked. Later, due to OSHA regulations, we were advised to wear masks but not required and most of did not.

My question is related to the exposure of lead based paint and the posibility of that having a bearing on my being diagnosed as having sarcoidosis.

 
 Re: healthcare workers and sarcoid (archive thread)
Author: Admin (---.vnnyca.adelphia.net)
Date:   07-14-04 10:48

Marian H,
Sarcoidosis is not caused by lead paint, nor by any other form of paint.

Only intracellular bacteria have sufficient inflammatory power to cause the granuloma of sarcoidosis.

Physicians have known this since the end of the 19th century, but only now do we have an effective therapy to kill those bacteria and cure the disease.

..Trevor..
ps: take a look at Dr Alan Cantwell's paper "Bacteria in Sarcoidosis and a Rationale for Antibiotic Therapy in this Disease"

 
 Re: healthcare workers and sarcoid (archive thread)
Author: John Dresser (---.csr-wy.client.bresnan.net)
Date:   08-18-04 10:20

Trevor,
Is it not possible that there might be some sort of environmental trigger that causes this bacterial inflamation to get going in sarcies?
My barber has sarc and swears it all started when he was doing a lot of work varnishing a wood boat. I also think back to the varnishing work I was doing just before my sarc diagnosis and wonder if that had a connection. (Sarc was identified in my lungs first)

Some of the old stats about sarc showed a high rate of sarc in black men in the southeast US, and they thought there might be some sort of connection to exposure to work in the pine forests, and I thought there might be a similar connection of pine elements with wood varnish.

I imagine I have had all sorts of other environmental exposures relating to my work building houses as well, that could have triggered my sarc? I was diagnosed with sarc after about 4 years into my construction career.

If I was born with the genetic predisposition for sarc, why did it not show up until I was 35, unless it was set off by some new trigger?

If I am eventually "cured" using the MP, I wonder if it is almost guaranteed that this bacteria will not just automatically start growing once again if I don't continue with annual antibiotic tune-ups? I realize no one has progressed far enough to know exactly what happens after MP, but do you have a theory about the post MP period which you have a high level of confidence? Or are we all pretty much experimenting and guessing as to how the next few years will be for us?

Do you expect that if we find we don't get a herx reaction after 3 or 4 years of annual tune-ups with the antibiotics, that we might feel confident we can safely discontinue those tune-ups at some point ?

Thank you for all your work helping us!

 
 Re: healthcare workers and sarcoid (archive thread)
Author: Meg (---.117.101.148.euc.wi.charter.com)
Date:   08-18-04 15:52

John,

Trevor has debunked that environmental trigger theory long ago. Just think about it. Does is make sense that your immune system would continue to run amok because you inhaled solvents years ago? Contrast that with tiny bacteria known to be living within the cells of the immune system of sarcoidosis patients. My money is on those tiny bugs.

We are all a bit different in how long it takes our body to accumulate enough bacteria to trigger the abnormal immune system reaction but we all inherited the genetic tendency. (Thanks, Mom.)

Since these submicroscopic bacteria grow so slowly, an annual short course of the MP antibiotics should take care of any you've acquired in the year post remission and prevent a return of symptoms. Of course this is still a theory but a well-thought-out one.

I see you've been thinking too.

Meg

 
 Re: healthcare workers and sarcoid (archive thread)
Author: John Dresser (---.csr-wy.client.bresnan.net)
Date:   08-18-04 17:15

Meg,

Of course, I don't understand how all these things work, but........first- are we born with these bacteria? second- if we aren't born with them, it seems logical that there was something in our environment that exposed us to them at some point. third- if we came to this world with the bacteria, then lived healthy lives for 30+ years before we started getting sick from them, it would likewise seem logical that something from the environment may have kicked these little buggers into action.
So it is likely all humans have this bacteria lurking within, but only those of us with the right genes get this unfortunate reaction that allows the bugs to all of a sudden, start multiplying out of control, in numbers that are detrimental to our health. Why would this happen at some random age, other than some outside influence making it more possible......like breathing some unhealthy fumes?
You say: "Does is make sense that your immune system would continue to run amok because you inhaled solvents years ago?" ..........wouldn't it be logical to assume if something triggered this genetic response to kick in, that once it get's going, it just does not stop without taking some action to reverse it?........much like cancer cells multipying? Again, I don't pretend to understand how these things work, but yes, It does make sense to me that it would be likely for this kind of bacteria growth to continue for years after being exposed to some environmental trigger. Maybe they were just waiting there for the right missing chemical to jump start this reaction.

Perhaps there are many different environmental triggers that would set off this chain reaction, and it might likely be a very personal, unique trigger for different people, but we have such a great opportunity using this website technology to compare experiences with hundreds of cases, and if enough people write in and say, "hey, yes! my sarc showed up just after I was inhaling all these fumes" it might just give us one more clue to consider as to why this genetic factor all of a sudden decides to start causing trouble.
John

 
 Re: healthcare workers and sarcoid (archive thread)
Author: Meg (---.117.101.148.euc.wi.charter.com)
Date:   08-18-04 20:03

John,

Yes, you can be born with these bacteria but you might not. They are everywhere in the environment so they are easy to pick up. They grow very slowly and your immune system may have been able to eliminate them until you acquired too many. No environmental trigger is needed. We differ in our ability to kill these bacteria and in our body's reaction to the immune system's efforts. That is why there are so many different Th1 diseases.

Once your bacterial load becomes too large for your immune system to cope with, then the inflammation gradually accumulates. The symptoms usually develop gradually.

IMO, if it were an environmental trigger, when that trigger was no longer there, the immune system would no longer react. What you are proposing is the accepted concept that the immune system attacks our bodies for no reason. I can't buy that. My body is not that dumb. I just have an immune sytem that can't do the job (kill the bacteria) alone.

And who do you know who has not been exposed to something noxious in the environment? Comparing stories has been done and no one got well.

Meg

 
 Re: healthcare workers and sarcoid (archive thread)
Author: Lottie (---.proxy.aol.com)
Date:   08-18-04 20:25

John,

I can look back and see some things that were probably related to Sarcoid. I lived mostly in Hawaii with some time in Texas and Virginia (thanks to the Navy) when I was growing up. My parents said I almost died with a kidney infection as an infant, and I had my tonsils out when I was four (in 1952) and in my teens I started having sore throats, AND sinus infections.

When I was about twenty I began to suffer from extreme fatigue. A doctor finally tested my thyroid... what thyroid? There was practically no thyroid hormone in my system. As I got older I had more and more problems with my sinuses.

Finally, in 1992 I had a bone spur removed from my septum to improve drainage, and breathing. Unfortunately, the surgeon had an ego which didn't allow him to check thoroughly for an infection (temp 104) which started a few days after surgery. For four years I fought with my HMO to get an outside opinion of my then chronic infection, and finally had some money and had it resolved with the assistance of an outside ENT. In the meantime my GP was trying to help me get rid of the infection with antibiotics, especially when my temp would hit 101.

It was a few months after my sinus infection was resolved, and then my gallbladder decided that it wanted "out" that I started experiencing fatigue, and drops in my blood pressure that had me almost blacking out, just sitting up. They finally did a CT scan with dye, thinking I had a pulmonary embolism after surgery, and saw the enlarged lymph nodes, which turned out to be Sarcoidosis on biopsy.

I probably have had Sarcoid most of my life. When we were in Hawaii especially, I was in the sun almost every day, swimming or riding horses. There was never much of a chance for my "D" levels to drop to a level that I would notice a problem. When I began working nights as a nurse, my daylight was very much reduced. (I've always been a night person, and have actually avoided the sun most of my life, unless there was something that I needed or wanted to do) I think that the infections that I had along the way increased my bacteria load. And, finally, especially with all the antibiotics I was on for the four years which never really killed everything put me over the top.

An interesting note... when I was explaining to my mother about how the sun affects the Sarcoidosis, she said, "When you were an infant, I would take you outside for fresh air and some sun, and you would start sneezing. So I stopped taking you out." Gotta wonder, was that sneezing because of Sarcoid? Especially since I've been avoiding all D's and sunlight, I notice that I often sneeze after I've been in the sun even for short periods.

*MODERATOR* Dx- Sarcoid 1999 Heart, Neuro, Joints, Myalgia, Skin, SOB, Fatigue (Apr 04-1,25D 48, 25D 17) (May 05-1,25D 35, 25D-below 5) Pred x5yrs- now off! 5/19 Benicar 10/11 Mino, 1/24/05 modified phase 2, 2/2/06 Phase 2 - Worked as RN until back injury

 
 Re: healthcare workers and sarcoid (archive thread)
Author: Had (---.178.41.118.forward.012.net.il)
Date:   08-22-04 14:56

I am 32. I have high vitamin D level and high creatinine serum in urine. I have asthma since I was a child with mocus. I also have pain in my right side, in the area of the kidney. I was told it may be sarcoid and was sent to do an ACE test and to see an eye doctor. Does it seem to be sarcoid? What else can it be?

 
 Re: healthcare workers and sarcoid (archive thread)
Author: Meg (---.117.101.148.euc.wi.charter.com)
Date:   08-22-04 18:56

Hi Had,

Welcome to Sarcinfo. Getting an ACE level is the correct thing to do. I'm wondering why your doctor measured your Vitamin D. I expect they only checked the precursor which is 25-D.

Please tell us the exact words and number/s of your D test/s so we can help you figure out what it might mean for you.

Meg

 
 Re: healthcare workers and sarcoid (archive thread)
Author: Darla (---.zoominternet.net)
Date:   08-23-04 08:17

Hi,
I was recently diagnosed in July with sarcoidosis. I am 55 years old, Italian, and have no medical history. I had a normal chest xray in 99 and my eye exam of equal eye loss. I graduated from nursing school in 2000 and started my career as a nurse. I had three needles sticks, plus I was always in an isolation room. The first in 2001. I started having pain in my right eye. I went to ER and they thought it was pink eye or from my contacts. I then started to have chest pain and SOB. I had a stress 2decho done and nothing. Doctor said it was musculoskeletal from lifting patients. Then last year my eye flared up again, no answeres, just pink eye. Still having the cp and sob. My r hip started to hurt and sometimes r grion pain. Had xray said it was a touch of arthritis and if the groin pain continue to come back. I was complaining to my eye doctor and even switched doctors about not being able to see good. One doctor suggested that my r eye loss my be contributed to a lazy eye. Then I started to work at the Cleveland Clinic this past March. Was still unhappy with my eye sight so made an appt. there at the clinic. He decided to have me just wear glasses fpr a month and see how my eye does. May and June was very stressful for me (moving,etc) and in the beginning of June eye pain again. Went to emergency doctor there and I told him I probably have pink eye again. I examined me and said I had an inflamation, not an infection. It has been testing since then. My lung biospy confirmed the diagnosis.
My question: Could I get Sarcoid from a needle stick or could I have been exposed to something in the hospital?
The hospital states I have no workman's comp claim since I can not prove it was from the needle stick.
I am just curious how many nurses who have contracted sarcoid and had a needle stick?
I appreciate any information.
Thanks
Linda

 
 Re: healthcare workers and sarcoid (archive thread)
Author: Johnny (---.ev1.net)
Date:   09-28-04 14:01

I am a firefighter with sarcadosis of the lungs. Is there any relationship with fighting fires and sarcadosis. I have been a firefighter for 33 years with no previous history of the disease. I am 56 years old.

 
 Re: healthcare workers and sarcoid (archive thread)
Author: Caroline (---.dsl.stlsmo.swbell.net)
Date:   09-28-04 14:21

Hi Johnny,
Welcome to SarcInfo. You have an admirable occupation. I am proud to say I am the daughter of a career firefighter. You didn't acquire sarcoidosis from eating smoke, the cause is bacterial, due to cell wall deficient bacteria.

Have you had an opportunity to read all of the Patient Tutorials found at the top of the page? They are full of the information you seek and also how to beat sarcoidosis. You might want to start out by reading Why Did I Get Sarcoidosis, Why Me?. The starred ** threads are very important also, as are the topics listed at the bottom of the Main Menu.

You may want to keep a medical dictionary shrunk at the bottom of the page to look up and unfamiliar words. There are many on the web. If you still have any questions, please ask. That is why we are here. Another website you might like to explore is found here: Marshall Protocol

(One of the other rmoderators will move this Q & A, as this is an 'archived thread'.)

Caroline

 
 Re: healthcare workers and sarcoid (archive thread)
Author: Belinda (---.dsl.rcsntx.swbell.net)
Date:   09-28-04 21:40

Johnny,

You may be interested to know that this investigation of 25 cases of sarcoidosis among firefighters, all of the biopsy-proven sarcoid patients returned to work in firefighting. No mention is made about patient symptoms, and there has been no follow-up report on the outcome of these patients.

We do know from the two-year follow-up of ACCESS study patients that most patients continue to decline or remain the same.

Have you had a blood test to determine you D-metabolites? This test would be a good tool in assessing your status.

Belinda

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This is an archive site, membership and posting are no longer allowed.

Historical perspective on Sarcoidosis:


  1. The John's Hopkins Vasculitis Center: Prednisone Side Effects (incl. PHOTOS and PHOTOGRAPHS)
  2. Steroid-Treated patients Have higher risk of Cardiac problems
  3. "Evidence Growing That Inhaled Steroids, Like Steroid Pills, Can Cause Bone Loss"
  4. "Corticosteroids contribute to the prolongation of the disease by delaying resolution"
  5. "No data to suggest that corticosteroid therapy alters long-term disease progression"
  6. Cochrane Review - "Oral and Inhaled Corticosteroids have no discernible effect on lung function"
  7. Prednisone Improves Symptoms but not Lung Function in Sarcodiosis
  8. There is no conclusive evidence that corticosteroids affect the development of irreversible pulmonary damage
  9. Clinical Guideline For Treatment Of Arthritis Pain
  10. Angiotensin II receptor on BALF macrophages from Japanese patients with active sarcoidosis

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