A.I. Burnasyan FMBC clinical bulletin. 2024 № 2
O.S. Orlova1,2, I.N. Posokhov1, E.M. Osmanov2
Sarcoidosis, Difficulties in Diagnosis
1International Office, State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency, Moscow, Russiа
2Pirogov Russian National Research Medical University, Moscow, Russia
Contact person: Orlova Olga Sergeevna: Orlova.os@mail.ru
Abstract
The incidence of sarcoidosis in Russia has not been studied enough. The clinical signs of sarcoidosis are diverse, and the lack of specific diagnostic tests makes noninvasive diagnosis difficult. In general therapeutic practice, in the case of an atypical course of the disease, diagnosis is complicated by the need for a differential diagnosis with many syndrome-like diseases. The etiology of sarcoidosis is still unknown. According to recent concepts, the cause of its occurrence cannot be considered a single factor, it is a combination of genetic, environmental, infectious and immunological causes. In this article, the author examines the main difficulties faced by doctors in the diagnosis of sarcoidosis. The clinical manifestations of the disease are analyzed, as well as methods of its detection, such as bronchoscopy, biopsy and laboratory tests. Possible diagnostic errors and how to avoid them are also considered. Understanding these difficulties will help improve the diagnosis and treatment of sarcoidosis, leading to more effective disease management.
Keywords: sarcodiosis, diagnosis, granulomas,T-cells, biopsy, analyzes
For citation: Orlova OS, Posokhov IN, Osmanov EM. Sarcoidosis, Difficulties in Diagnosis A.I. Burnasyan Federal Medical Biophysical Center Clinical Bulletin. 2024.2:61-64. (In Russian) DOI: 10.33266/2782-6430-2024-2-61-64
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Conflict of interest. The authors declare no conflict of interest.
Financing. The study had no sponsorship.
Contribution. Article was prepared with equal participation of the authors.
Article received: 20.04.2024. Accepted for publication: 13.05.2024