Comprehensive Care for Patients with Sarcoidosis
Identifieur interne : 000E91 ( Ncbi/Merge ); précédent : 000E90; suivant : 000E92Comprehensive Care for Patients with Sarcoidosis
Auteurs : Catharina C. Moor [Pays-Bas] ; Vivienne Kahlmann [Pays-Bas] ; Daniel A. Culver [États-Unis] ; Marlies S. Wijsenbeek [Pays-Bas]Source :
- Journal of Clinical Medicine [ 2077-0383 ] ; 2020.
Abstract
Sarcoidosis is a multisystem granulomatous disease, associated with significant morbidity and impaired quality of life. Treatment is aimed at recovering organ function, reducing symptom burden and improving quality of life. Because of the heterogeneity and variable disease course, a comprehensive, multidisciplinary approach to care is needed. Comprehensive care includes not only pharmacological interventions, but also supportive measures aimed at relieving symptoms and improving quality of life. The purpose of this review is to summarize the most recent knowledge regarding different aspects of care and propose a structured approach to sarcoidosis management.
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DOI: 10.3390/jcm9020390
PubMed: 32024123
PubMed Central: 7074229
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PMC:7074229Le document en format XML
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Moor</name><affiliation wicri:level="1"><nlm:aff id="af1-jcm-09-00390">Department of Respiratory Medicine, Erasmus Medical Center Rotterdam, 3015 GD Rotterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Respiratory Medicine, Erasmus Medical Center Rotterdam, 3015 GD Rotterdam</wicri:regionArea><wicri:noRegion>3015 GD Rotterdam</wicri:noRegion></affiliation></author><author><name sortKey="Kahlmann, Vivienne" sort="Kahlmann, Vivienne" uniqKey="Kahlmann V" first="Vivienne" last="Kahlmann">Vivienne Kahlmann</name><affiliation wicri:level="1"><nlm:aff id="af1-jcm-09-00390">Department of Respiratory Medicine, Erasmus Medical Center Rotterdam, 3015 GD Rotterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Respiratory Medicine, Erasmus Medical Center Rotterdam, 3015 GD Rotterdam</wicri:regionArea><wicri:noRegion>3015 GD Rotterdam</wicri:noRegion></affiliation></author><author><name sortKey="Culver, Daniel A" sort="Culver, Daniel A" uniqKey="Culver D" first="Daniel A." last="Culver">Daniel A. Culver</name><affiliation wicri:level="1"><nlm:aff id="af2-jcm-09-00390">Department of Pulmonary Medicine, Respiratory Institute, Cleveland Clinic, Cleveland, OH 44195, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pulmonary Medicine, Respiratory Institute, Cleveland Clinic, Cleveland, OH 44195</wicri:regionArea><wicri:noRegion>OH 44195</wicri:noRegion></affiliation></author><author><name sortKey="Wijsenbeek, Marlies S" sort="Wijsenbeek, Marlies S" uniqKey="Wijsenbeek M" first="Marlies S." last="Wijsenbeek">Marlies S. Wijsenbeek</name><affiliation wicri:level="1"><nlm:aff id="af1-jcm-09-00390">Department of Respiratory Medicine, Erasmus Medical Center Rotterdam, 3015 GD Rotterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Respiratory Medicine, Erasmus Medical Center Rotterdam, 3015 GD Rotterdam</wicri:regionArea><wicri:noRegion>3015 GD Rotterdam</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Clinical Medicine</title><idno type="eISSN">2077-0383</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Sarcoidosis is a multisystem granulomatous disease, associated with significant morbidity and impaired quality of life. Treatment is aimed at recovering organ function, reducing symptom burden and improving quality of life. 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Drent</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="review-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Clin Med</journal-id><journal-id journal-id-type="iso-abbrev">J Clin Med</journal-id><journal-id journal-id-type="publisher-id">jcm</journal-id><journal-title-group><journal-title>Journal of Clinical Medicine</journal-title></journal-title-group><issn pub-type="epub">2077-0383</issn><publisher><publisher-name>MDPI</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">32024123</article-id><article-id pub-id-type="pmc">7074229</article-id><article-id pub-id-type="doi">10.3390/jcm9020390</article-id><article-id pub-id-type="publisher-id">jcm-09-00390</article-id><article-categories><subj-group subj-group-type="heading"><subject>Review</subject></subj-group></article-categories><title-group><article-title>Comprehensive Care for Patients with Sarcoidosis</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Moor</surname><given-names>Catharina C.</given-names></name><xref ref-type="aff" rid="af1-jcm-09-00390">1</xref></contrib><contrib contrib-type="author"><name><surname>Kahlmann</surname><given-names>Vivienne</given-names></name><xref ref-type="aff" rid="af1-jcm-09-00390">1</xref></contrib><contrib contrib-type="author"><name><surname>Culver</surname><given-names>Daniel A.</given-names></name><xref ref-type="aff" rid="af2-jcm-09-00390">2</xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="true">https://orcid.org/0000-0002-4527-6962</contrib-id><name><surname>Wijsenbeek</surname><given-names>Marlies S.</given-names></name><xref ref-type="aff" rid="af1-jcm-09-00390">1</xref><xref rid="c1-jcm-09-00390" ref-type="corresp">*</xref></contrib></contrib-group><aff id="af1-jcm-09-00390"><label>1</label>Department of Respiratory Medicine, Erasmus Medical Center Rotterdam, 3015 GD Rotterdam, The Netherlands</aff><aff id="af2-jcm-09-00390"><label>2</label>Department of Pulmonary Medicine, Respiratory Institute, Cleveland Clinic, Cleveland, OH 44195, USA</aff><author-notes><corresp id="c1-jcm-09-00390"><label>*</label>Correspondence: <email>m.wijsenbeek-lourens@erasmusmc.nl</email></corresp></author-notes><pub-date pub-type="epub"><day>01</day><month>2</month><year>2020</year></pub-date><pub-date pub-type="collection"><month>2</month><year>2020</year></pub-date><volume>9</volume><issue>2</issue><elocation-id>390</elocation-id><history><date date-type="received"><day>31</day><month>12</month><year>2019</year></date><date date-type="accepted"><day>29</day><month>1</month><year>2020</year></date></history><permissions><copyright-statement>© 2020 by the authors.</copyright-statement><copyright-year>2020</copyright-year><license license-type="open-access"><license-p>Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>).</license-p></license></permissions><abstract><p>Sarcoidosis is a multisystem granulomatous disease, associated with significant morbidity and impaired quality of life. Treatment is aimed at recovering organ function, reducing symptom burden and improving quality of life. Because of the heterogeneity and variable disease course, a comprehensive, multidisciplinary approach to care is needed. Comprehensive care includes not only pharmacological interventions, but also supportive measures aimed at relieving symptoms and improving quality of life. The purpose of this review is to summarize the most recent knowledge regarding different aspects of care and propose a structured approach to sarcoidosis management.</p></abstract><kwd-group><kwd>sarcoidosis</kwd><kwd>quality of life</kwd><kwd>comprehensive care</kwd><kwd>holistic management</kwd></kwd-group></article-meta></front><floats-group><fig id="jcm-09-00390-f001" orientation="portrait" position="float"><label>Figure 1</label><caption><p>Organ involvement in sarcoidosis. Organ involvement is classified according to the ACCESS organ assessment instrument [<xref rid="B8-jcm-09-00390" ref-type="bibr">8</xref>]. Prevalence data are used from references [<xref rid="B1-jcm-09-00390" ref-type="bibr">1</xref>,<xref rid="B9-jcm-09-00390" ref-type="bibr">9</xref>].</p></caption><graphic xlink:href="jcm-09-00390-g001"></graphic></fig><fig id="jcm-09-00390-f002" orientation="portrait" position="float"><label>Figure 2</label><caption><p>Structured approach to comprehensive care in sarcoidosis. The arrows show that individual patient’s symptoms, needs, and treatment should regularly be reassessed. TNF = tumor necrosis factor.</p></caption><graphic xlink:href="jcm-09-00390-g002"></graphic></fig><table-wrap id="jcm-09-00390-t001" orientation="portrait" position="float"><object-id pub-id-type="pii">jcm-09-00390-t001_Table 1</object-id><label>Table 1</label><caption><p>Overview of pharmacological and non-pharmacological treatment options for common sarcoidosis symptoms. Many of these recommendations are expert opinion or based on small studies.</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="center" valign="middle" style="border-top:solid thin;border-bottom:solid thin" rowspan="1" colspan="1">Symptom</th><th align="center" valign="middle" style="border-top:solid thin;border-bottom:solid thin" rowspan="1" colspan="1">Pharmacological Treatment</th><th align="center" valign="middle" style="border-top:solid thin;border-bottom:solid thin" rowspan="1" colspan="1">Non-Pharmacological Treatment</th></tr></thead><tbody><tr><td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1"><bold>Dyspnea</bold></td><td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Regular disease-modifying treatment<break></break>Treat other causes<break></break>Supplemental oxygen (in case of hypoxemia)</td><td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Physical training, pulmonary rehabilitation [<xref rid="B58-jcm-09-00390" ref-type="bibr">58</xref>,<xref rid="B59-jcm-09-00390" ref-type="bibr">59</xref>,<xref rid="B60-jcm-09-00390" ref-type="bibr">60</xref>]<break></break>Cognitive behavioral therapy [<xref rid="B63-jcm-09-00390" ref-type="bibr">63</xref>]</td></tr><tr><td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1"><bold>Cough</bold></td><td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Regular disease-modifying treatment<break></break>Treat other causes<break></break>Inhaled corticosteroids *</td><td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Multimodality speech pathology therapy [<xref rid="B70-jcm-09-00390" ref-type="bibr">70</xref>]</td></tr><tr><td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1"><bold>Fatigue</bold></td><td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Treat other causes and comorbidities<break></break>Neurostimulants: armodafinil, (dex)methylphenidate [<xref rid="B72-jcm-09-00390" ref-type="bibr">72</xref>,<xref rid="B73-jcm-09-00390" ref-type="bibr">73</xref>]<break></break>TNF inhibitor treatment [<xref rid="B74-jcm-09-00390" ref-type="bibr">74</xref>]</td><td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Treat reversible causes i.e., obstructive sleep apnea, obesity, depression<break></break>Physical training or pulmonary rehabilitation [<xref rid="B57-jcm-09-00390" ref-type="bibr">57</xref>,<xref rid="B58-jcm-09-00390" ref-type="bibr">58</xref>,<xref rid="B59-jcm-09-00390" ref-type="bibr">59</xref>,<xref rid="B60-jcm-09-00390" ref-type="bibr">60</xref>]<break></break>Psychosocial counselling [<xref rid="B13-jcm-09-00390" ref-type="bibr">13</xref>]<break></break>Cognitive behavioral therapy [<xref rid="B63-jcm-09-00390" ref-type="bibr">63</xref>]</td></tr><tr><td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1"><bold>Depression and Anxiety</bold></td><td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Antidepressants [<xref rid="B13-jcm-09-00390" ref-type="bibr">13</xref>] **<break></break>Anxiolytics **</td><td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Cognitive behavioral therapy [<xref rid="B63-jcm-09-00390" ref-type="bibr">63</xref>]<break></break>Pulmonary rehabilitation [<xref rid="B58-jcm-09-00390" ref-type="bibr">58</xref>]<break></break>Psychological counselling [<xref rid="B46-jcm-09-00390" ref-type="bibr">46</xref>]</td></tr><tr><td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1"><bold>Small-Fiber Neuropathy</bold></td><td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Antidepressants<break></break>Anticonvulsants<break></break>Topical anesthetics<break></break>Opioids [<xref rid="B46-jcm-09-00390" ref-type="bibr">46</xref>]<break></break>Intravenous immunoglobulin [<xref rid="B75-jcm-09-00390" ref-type="bibr">75</xref>,<xref rid="B76-jcm-09-00390" ref-type="bibr">76</xref>]<break></break>TNF inhibitor treatment [<xref rid="B76-jcm-09-00390" ref-type="bibr">76</xref>]</td><td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Mindfulness-based therapy [<xref rid="B46-jcm-09-00390" ref-type="bibr">46</xref>]</td></tr><tr><td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1"><bold>Cognitive Impairment</bold></td><td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">TNF inhibitor treatment [<xref rid="B74-jcm-09-00390" ref-type="bibr">74</xref>]</td><td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1"></td></tr></tbody></table><table-wrap-foot><fn><p>* earlier studies showed conflicting results. ** should only be initiated after an appropriate psychiatric evaluation. TNF = tumor necrosis factor.</p></fn></table-wrap-foot></table-wrap></floats-group></pmc><affiliations><list><country><li>Pays-Bas</li><li>États-Unis</li></country></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Moor, Catharina C" sort="Moor, Catharina C" uniqKey="Moor C" first="Catharina C." last="Moor">Catharina C. Moor</name></noRegion><name sortKey="Kahlmann, Vivienne" sort="Kahlmann, Vivienne" uniqKey="Kahlmann V" first="Vivienne" last="Kahlmann">Vivienne Kahlmann</name><name sortKey="Wijsenbeek, Marlies S" sort="Wijsenbeek, Marlies S" uniqKey="Wijsenbeek M" first="Marlies S." last="Wijsenbeek">Marlies S. Wijsenbeek</name></country><country name="États-Unis"><noRegion><name sortKey="Culver, Daniel A" sort="Culver, Daniel A" uniqKey="Culver D" first="Daniel A." last="Culver">Daniel A. Culver</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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