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| Format: | Artículo científico |
| Langue: | en |
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Sociedade Portuguesa de Pneumologia
2017
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| Accès en ligne: | https://www.redalyc.org/articulo.oa?id=169752768005 |
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- Analysis of sarcoidosis in the Oporto region (Portugal) A.V. Cardoso P.C. Mota N. Melo S. Guimarães C. Souto Moura J.M. Jesus R. Cunha A. Morais Medicina Oporto Sarcoidosis Löfgren syndrome Scadding criteria Extrathoracic involvement Background: Sarcoidosis is a systemic granulomatous disease of unknown etiology. Epidemi- ological studies of different populations are essential because clinical presentation, organ involvement, disease severity, and prognosis vary significantly according to region and pop- ulation. The aim of this study was to assess epidemiological and clinical characteristics, staging factors, and clinical course in patients with sarcoidosis from a tertiary hospital in Oporto, Portugal. Methods: A retrospective analysis of patients with sarcoidosis and at least 2 years of follow-up evaluated at the Centro Hospitalar de São João between 2000 and 2014. Results: We identified 409 patients with sarcoidosis (females, 58.9%; mean age at diagno- sis, 38.9 ± 13.4 years; smokers, 14.4%]. All the patients were diagnosed according to the ERS/ATS/WASOG consensus statement and 64.1% had evidence of noncaseating epithelioid cell granulomas in biopsy specimens. Bronchoalveolar lavage was performed as part of the diag- nostic work-up in 289 patients and 90.2% had lymphocytosis (CD4/CD8 ratio ≥ 3.5 in 60.9% of cases). Exertion dyspnea, cough, and constitutional symptoms were the most common pre- senting symptoms; 10.1% of patients were asymptomatic, 22.8% had Löfgren syndrome, and 50.5% had extrathoracic involvement. Radiographic stages of disease according to the Scadding criteria were as follows: stage 0 (5.2%), stage I (33.7%), stage II (47.0%), stage III (8.4%), and stage IV (5.7%). Impaired respiratory function was observed in 45.6% patients and was mostly mild. Systemic treatment was administered in 58.6% of cases. Overall, 45.3% of patients experienced disease resolution. Conclusion: The epidemiological and clinical characteristics of this cohort of patients with sarcoidosis from the Oporto region in northern Portugal revealed epidemiological and clinical characteristics that were generally similar to those described in other Western Europe popu- lations and in the US ACCESS study. However, we found a higher proportion of patients who progressed to chronic forms. 2017 artículo científico 0873-2159 https://www.redalyc.org/articulo.oa?id=169752768005 en http://www.redalyc.org/revista.oa?id=1697 Revista Portuguesa de Pneumología application/pdf Sociedade Portuguesa de Pneumologia Revista Portuguesa de Pneumología (Portugal) Num.5 Vol.23