Sarcoidosis

  1. Albarrán, F. 1
  2. Abassi Pérez, A. 1
  3. Pérez Gómez, A. 1
  4. Álvarez-Mon Soto, M. 1
  1. 1 Servicio de Reumatología y Autoinmunidad, Hospital Universitario Príncipe de Asturias, Universidad de Alcalá, Alcalá de Henares, Madrid, España
Revista:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Año de publicación: 2021

Título del ejemplar: Enfermedades del sistema inmune (V)

Serie: 13

Número: 32

Páginas: 1824-1836

Tipo: Artículo

DOI: 10.1016/J.MED.2021.04.012 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Medicine: Programa de Formación Médica Continuada Acreditado

Resumen

La sarcoidosis es una enfermedad sistémica de etiología desconocida, con una patogenia mediada por el sistema inmunitario y con desarrollo de lesiones tisulares con granulomas epitelioides no caseificantes. La patocronia y la expresión clínica de la enfermedad son variables. La afectación más frecuente es la pulmonar, que puede coexistir con manifestaciones extratorácicas como las cutáneas, oculares, hepáticas, cardíacas y/o del sistema nervioso central. El diagnóstico se fundamenta en la clínica del enfermo y en la evidencia del daño tisular y del patrón histológico granulomatoso, con exclusión de otras posibles etiologías. El tratamiento de la enfermedad se establece por la gravedad, la evolución y la localización de los órganos afectados y se fundamenta en el empleo de corticoides e inmunosupresores.

Referencias bibliográficas

  • Grunewald J, Grutters JC, Arkema EV, Saketkoo LA, Moller DR, Müller Quernheim J. Sarcoidosis. Nat Rev Dis Primers. 2019;5(1):45.
  • Iannuzzi MC, Fontana JR. Sarcoidosis: clinical presentation, immuno-pathogenesis, and therapeutics. JAMA. 2011;305(4):391-9
  • Valeyre D, Prasse A, Nunes H, Uzunhan Y, Brillet PY, Müller Quernheim J. Sarcoidosis. Lancet. 2014;383(9923):1155-67.
  • Mañá J, Badrinas F, Morera J, Fité E, Manresa F, Fernández Nogués F. Sarcoidosis in Spain. Sarcoidosis. 1992;9(2):118-22.
  • Hillerdal G, Nou E, Osterman K, Schmekel B. Sarcoidosis: Epidemiology and prognosis: A 15 year European study. Am Rev Respir Dis. 1984; 130:29-32.
  • Morimoto T, Azuma A, Abe S, Usuki J, Kudoh S, Sugisaki K. Epidemiology of sarcoidosis in Japan. Eur Respir J. 2008;31(2):372-9.
  • Rybicki BA, Iannuzzi MC, Frederick MM, Thompson BW, Rossman MD, Bresnitz EA. ACCESS Research Group. Familial aggregation of sarcoidosis. A case control etiologic study of sarcoidosis (ACCESS). Am J Respir Crit Care Med. 2001;164(11):2085-91.
  • Sverrild A, Backer V, Kyvik KO, Kaprio J, Milman N, Svendsen CB. Heredity in sarcoidosis: a registry based twin study. Thorax. 2008;63(10):894-6.
  • Terwiel M, Grutters JC, Van Moorsel CHM. Clustering of immune mediated diseases in sarcoidosis. Current Opinion in Pulmonary Medicine. 2019;25:539-53.
  • Newman KL, Newman LS. Occupational causes of sarcoidosis. Curr Opin Allergy Clin Immunol. 2012;12(2):145-50.
  • Rotsinger JE, Celada LJ, Polosukhin VV, Atkinson JB, Drake WP. Molecular analysis of sarcoidosis granulomas reveals antimicrobial targets. Am J Respir Cell Mol Biol. 2016;55:128-34.
  • Calender A, Weichhart T, Valeyre D, Pacheco Y. Current insights in genetics of sarcoidosis: functional and clinical impacts. J Clin Med. 2020; 9:2633.
  • Bennett D, Bargagli E, Refini RM, Rottoli P. New concepts in the pathogenesis of sarcoidosis. Expert Rev Respir Med. 2019;13(10):981-991.
  • Beijer E, Veltkamp M, Meek B, Moller DR. Etiology and immunopathogenesis of sarcoidosis: novel insights. Semin Respir Crit Care Med. 2017; 38:404-16.
  • Tejera Segura B, Holgado S, Mateo L, Pego Reigosa JM, Carnicero Iglesias M, Olivé A. Síndrome de Löfgren: estudio de 80 casos [Löfgren syndrome: a study of 80 cases]. Med Clin (Barc). 2014;143(4):166-9.
  • Grunewald J, Eklund A. LÖfgren’s syndrome: Human leukocyte antigen strongly influences the disease course. Am J Respir Crit Care Med. 2009; 79:307-12.
  • Judson MA, Boan AD, Lackland DT. The clinical course of sarcoidosis: presentation, diagnosis, and treatment in a large white and black cohort in the United States. Sarcoidosis Vasc Diffuse Lung Dis. 2012;29(2):119-27.
  • Wouters CH, Maes A, Foley KP, Bertin J, Rose CD. Blau syndrome, the prototypic auto-inflammatory granulomatous disease. Pediatr Rheumatol Online J. 2014;12:33.
  • Rubio Rivas M, Corbella X, Mañá J. Elderly sarcoidosis: A comparative study from a 42 year single centre experience. Respir Med. 2019;152:1-6.
  • Te HS, Perlman DM, Shenoy C, Steinberger DJ, Cogswell RJ, Roukoz H. Clinical characteristics and organ system involvement in sarcoidosis: comparison of the University of Minnesota Cohort with other cohorts. BMC Pulm Med. 2020;20(1):155.
  • Huitema, M. P., Grutters, J. C., Rensing, B. J. W. M., Reesink, H. J. & Post, M. C. Pulmonary hypertension complicating pulmonary sarcoidosis. Neth Heart J. 2016;24(6):390-9.
  • Baughman RP, Engel PJ, Taylor L, Lower EE. Survival in sarcoidosis associated pulmonary hypertension: The importance of hemodynamic evaluation. Chest. 2010;138:1078-85.
  • Silverman KJ, Hutchins GM, Bulkley BH. Cardiac sarcoid: A clinico-pathologic study of 84 unselected patients with systemic sarcoidosis. Circulation. 1978;58:1204-11.
  • Juneau D, Nery P, Russo J, de Kemp RA, Leung E, Beanlands RSB. How common is isolated cardiac sarcoidosis? Extracardiac and cardiac findings on clinical examination and whole body 18F-fluorodeoxyglucose positron emission tomography. Int J Cardiol. 2018;253:189-93.
  • Judson MA. Screening sarcoidosis patients for cardiac sarcoidosis: What the data really show. Respir Med. 2019;154:155-7.
  • Kouranos V, Tzelepis GE, Rapti A, Mavrogeni S, Aggeli K, Douskou M. Complementary role of CMR to conventional screening in the diagnosis and prognosis of cardiac sarcoidosis. JACC Cardiovasc Imaging. 2017;10(12):1437-47.
  • Birnie DH, Sauer WH, Bogun F, Cooper JM, Culver DA, Duvernoy CS. HRS expert consensus statement on the diagnosis and management of arrhythmias associated with cardiac sarcoidosis. Heart Rhythm. 2014; 11(7):1305-23.
  • Ohira H, Tsujino I, Ishimaru S, Oyama N, Takei T, Tsukamoto E. Myocardial imaging with 18F-fluoro-2-deoxyglucose positron emission tomography and magnetic resonance imaging in sarcoidosis. Eur J Nucl Med Mol Imaging. 2008;35(5):933-41.
  • Ramírez R, Trivieri M, Fayad ZA, Ahmadi A, Narula J, Argulian E. Advanced Imaging in Cardiac Sarcoidosis. J Nucl Med. 2019;60(7):892-8.
  • Larici AR, Glaudemans AW, Del Ciello A, Slart RH, Calandriello L, Gheysens O. Radiological and nuclear medicine imaging of sarcoidosis. Q J Nucl Med Mol Imaging. 2018;62(1):14-33.
  • Stern BJ, Royal W 3rd, Gelfand JM, Clifford DB, Tavee J, Pawate S. Definition and Consensus Diagnostic Criteria for Neurosarcoidosis: From the Neurosarcoidosis Consortium Consensus Group. JAMA Neurol. 2018;75(12):1546-53.
  • Jamilloux Y, Kodjikian L, Broussolle C, Sève P. Sarcoidosis and uveitis. Autoimmun Rev. 2014;13(8):840-9.
  • Dammacco R, Biswas J, Kivelä TT, Zito FA, Leone P, Mavilio A. Ocular sarcoidosis: clinical experience and recent pathogenetic and therapeutic advancements. Int Ophthalmol. 2020;40(12):3453-67.
  • Mochizuki M, Smith JR, Takase H, Kaburaki T, Acharya NR, Rao NA; International Workshop on Ocular Sarcoidosis Study Group. Revised criteria of International Workshop on Ocular Sarcoidosis (IWOS) for the diagnosis of ocular sarcoidosis. Br J Ophthalmol. 2019;103(10): 1418-22.
  • Khan NA, Donatelli CV, Tonelli AR, Wiesen J, Ribeiro Neto ML, Sahoo D. Toxicity risk from glucocorticoids in sarcoidosis patients. Respir Med. 2017;132:9-14.
  • James WE, Baughman R. Treatment of sarcoidosis: grading the evidence. Expert Rev Clin Pharmacol. 2018;11(7):677-87.
  • Drent M, Cremers JP, Jansen TL, Baughman RP. Practical eminence and experience based recommendations for use of TNF inhibitors in sarcoidosis. Sarcoidosis Vasc Diffuse Lung Dis. 2014;31(2):91-107.
  • Adler BL, Wang CJ, Bui TL, Schilperoort HM, Armstrong AW. Antitumor necrosis factor agents in sarcoidosis: A systematic review of efficacy and safety. Semin Arthritis Rheum. 2019;48(6):1093-104.
  • Walsh SL, Wells AU, Sverzellati N, Keir GJ, Calandriello L, Antoniou KM, Copley SJ, Devaraj A, Maher TM, Renzoni E, Nicholson AG, Hansell DM. An integrated clinicoradiological staging system for pulmonary sarcoidosis: a case cohort study. Lancet Respir Med. 2014 Feb;2(2):123-30.