亲爱的研友该休息了!由于当前在线用户较少,发布求助请尽量完整地填写文献信息,科研通机器人24小时在线,伴您度过漫漫科研夜!身体可是革命的本钱,早点休息,好梦!

BTS Clinical Statement on pulmonary sarcoidosis

医学 结节病 语句(逻辑) 肺结节病 重症监护医学 病理 政治学 法学
作者
Muhunthan Thillai,Christopher Atkins,Anjali Crawshaw,Simon P. Hart,Ling‐Pei Ho,Vasileios Kouranos,Karen Patterson,Nicholas Screaton,J Whight,Athol U. Wells
出处
期刊:Thorax [BMJ]
卷期号:76 (1): 4-20 被引量:119
标识
DOI:10.1136/thoraxjnl-2019-214348
摘要

often occurs along lymphatic tracks: thus, peribronchial tissue and interlobular septa are the most common sites of sarcoid lesions.Pleural disease is uncommon 5 but should be considered in the setting of a lymphocytic effusion with other pulmonary features of the disease.Rarely, sarcoidosis affects the upper airways, including the trachea and larynx. 6Severe lower airway inflammation can result in fibrotic stenosis and distortion. 6Pneumothoraces are a recognised complication of fibrocystic sarcoidosis. 7Box 1 Clinical Practice Points -summary Clinical presentation1.The respiratory examination in pulmonary sarcoidosis is often normal, and is an unreliable measure of disease extent or morbidity.2. Pulmonary function tests are often normal in non-fibrotic sarcoidosis, and may not reflect disease activity or symptom burden.3. Screening for extra-thoracic disease is important.At baseline, patients should have a full blood count, biochemical tests (including urea and electrolytes, liver function tests and calcium), serum ACE levels (non-unanimous consensus) and a 12-lead ECG. 4. In patients with eye symptoms, a baseline ophthalmic review should be undertaken by either an optician or an ophthalmologist (depending on the severity of symptoms).5. Patients should be asked routinely about fatigue and mood disturbance.6.A comprehensive exposure and occupational history should be taken to exclude both berylliosis and silicosis which can present in a similar manner to sarcoidosis. Cardiac sarcoidosis and pulmonary hypertension1. Cardiac sarcoidosis and/or pulmonary hypertension should be considered in all patients with pulmonary sarcoidosis who have levels of breathlessness which are disproportionate to their lung function impairment.2. Baseline testing in all patients with suspected cardiac sarcoidosis (ie, those with ECG abnormalities, cardiac symptoms or breathlessness out of context with their pulmonary function) should include an ECG and an echocardiogram.Abnormalities in ECG or echocardiogram which suggest cardiac sarcoidosis should be confirmed with cardiac magnetic resonance imaging (CMR) or positron emission tomography (PET).3.All patients with palpitations should be offered a 24-hour Holter monitor.4. In patients with pulmonary sarcoidosis, the presence of cardiac involvement, based on advanced imaging (CMR or PET) findings, should be confirmed by a multidisciplinary team with experience in both sarcoidosis and other forms of cardiac disease.There is a current initiative to identify tertiary interstitial lung disease centres that have immediate access to specialist cardiac sarcoidosis expertise.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
顾矜应助Emon采纳,获得10
11秒前
29秒前
46秒前
芝麻完成签到,获得积分10
51秒前
52秒前
Dave发布了新的文献求助10
56秒前
大模型应助芝麻采纳,获得10
1分钟前
1分钟前
jjjjj发布了新的文献求助10
1分钟前
Liufgui应助花凉采纳,获得20
1分钟前
biubiubiu发布了新的文献求助10
1分钟前
万能图书馆应助章鱼采纳,获得10
1分钟前
jjjjj完成签到,获得积分20
1分钟前
1分钟前
章鱼发布了新的文献求助10
1分钟前
牛八先生完成签到,获得积分10
1分钟前
1分钟前
孙燕应助jjjjj采纳,获得30
1分钟前
Liufgui应助花凉采纳,获得20
1分钟前
Ava关闭了Ava文献求助
1分钟前
科研通AI2S应助liudy采纳,获得10
2分钟前
科研通AI2S应助sljzhangbiao11采纳,获得10
2分钟前
2分钟前
徐悦月发布了新的文献求助10
2分钟前
三笠发布了新的文献求助10
2分钟前
小刘完成签到,获得积分10
2分钟前
2分钟前
三笠完成签到,获得积分10
2分钟前
传奇3应助Liiiiiiiiii采纳,获得10
2分钟前
gt完成签到 ,获得积分10
2分钟前
2分钟前
文静栾完成签到 ,获得积分10
2分钟前
芝麻关注了科研通微信公众号
2分钟前
3分钟前
所所应助徐悦月采纳,获得10
3分钟前
3分钟前
核桃发布了新的文献求助10
3分钟前
3分钟前
芝麻发布了新的文献求助10
3分钟前
昏睡的沛柔完成签到 ,获得积分10
3分钟前
高分求助中
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
Robot-supported joining of reinforcement textiles with one-sided sewing heads 320
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3990045
求助须知:如何正确求助?哪些是违规求助? 3532108
关于积分的说明 11256334
捐赠科研通 3270943
什么是DOI,文献DOI怎么找? 1805146
邀请新用户注册赠送积分活动 882270
科研通“疑难数据库(出版商)”最低求助积分说明 809228