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.