Epidemiological study of sarcoidosis in the Armed Forces of the Republic of Belarus
- Authors: Metelskii S.M1, Gombalevskii D.V2, Kunevich E.O1
-
Affiliations:
- Military Medical Faculty at the educational institution «Belarusian State Medical University»
- Central Military Medical Commission of the Armed Forces of the Republic of Belarus
- Issue: Vol 342, No 5 (2021)
- Pages: 18-25
- Section: Articles
- URL: https://journals.eco-vector.com/0026-9050/article/view/82573
- DOI: https://doi.org/10.17816/RMMJ82573
- ID: 82573
Cite item
Abstract
The article presents for the first time the results of studying the epidemiology and incidence of sarcoidosis in the armed forces of the Republic of Belarus. One hundred ninety - three servicemen were prospectively examined; the clinical features of the disease’s onset and course were assessed. The incidence of sarcoidosis from 2000 to 2018 increased from 6.2 to 39.6 per 100 thousand (an increase exceeded 600%); in 2018, the figure was 100 per 100 thousand. There was a tendency to increase the incidence of sarcoidosis in military personnel at an earlier age. In contrast, the incidence rate of contract servicemen (0.52 ‰) is higher than that of conscripts (0.23 ‰). The peak incidence occurs at the age of 20-25 years. The incidence of acute forms of sarcoidosis is 6.2%, and that of familial cases is 1%. The most frequently recorded X-ray stage of sarcoidosis (50.5%) and the second clinical and X-ray form - sarcoidosis of the intrathoracic lymph nodes and lungs (70.3%). Clinical manifestation in military personnel is characterized by a high frequency of asymptomatic forms, the low information content of laboratory parameters, and predominantly average spirogram indicators. The recurrence rate was 7%, and the progressive one was 13%.
Full Text
About the authors
S. M Metelskii
Military Medical Faculty at the educational institution «Belarusian State Medical University»
Email: metelskiysm@yandex.by
Minsk, Republic of Belarus
D. V Gombalevskii
Central Military Medical Commission of the Armed Forces of the Republic of BelarusMinsk, Republic of Belarus
E. O Kunevich
Military Medical Faculty at the educational institution «Belarusian State Medical University»Minsk, Republic of Belarus
References
- Антипушина Д. Н. Клинические и прогностические аспекты саркоидоза органов дыхания у военнослужащих: Дис.. канд. мед. наук. - СПб, 2016. - 134 с.
- Бородина Г.Л. Саркоидоз органов дыхания: распространенность, диагностика, лечение и реабилитация: Автореф. дис.. д-ра мед. наук. - Минск, 2018. - 54 с.
- Визель А.А. Саркоидоз: Монография. - М.: Атмосфера, 2010. - 381 с.
- Визель И.Ю., Визель А.А. Особенности состояния больных саркоидозом с синдромом Лефгрена при их выявлении и при различных вариантах лечения и наблюдения // Практ. пульм. - 2016. - № 1. - С. 44-49.
- Визель И.Ю., Шмелев Е.И., Баранова О.П. и др. Мультицентровой ретроспективный анализ состояния больных саркоидозом с 10-летним интервалом наблюдения // Клин. мед. - 2014. - № 6. - С. 28-34.
- Гришин В.К., Гришин А.В. Заболеваемость саркоидозом в Вооруженных Силах: диагностика, лечение, диспансерное наблюдение // Воен.-мед. журн. - 2007. - Т. 328, № 4. - С. 32-35.
- Зайцев А.А., Крюков Е.В., Антипушина Д.Н. Саркоидоз: критерии и инструменты прогноза рецидивирующего течения // Практ. пульмонол. - 2015. - № 2. - С. 28-31.
- Метельский С.М., Ермолкевич Р.Ф., Лапицкий Д.В. Анализ заболеваемости саркоидозом у военнослужащих // Вестн. Рос. воен.-мед. акад. - 2011. - № 2 (34). - С. 88.
- Синопальников В.И., Фатеев С.С. Возможности ранней диагностики, лечения и экспертизы саркоидоза у летного состава // Воен.-мед. журн. - 2002. - Т. 323, № 4. - С. 28-32.
- Хоменко А.Г., Швайгер О. Саркоидоз. - М.: Медицина, 1982. - С. 72-74.
- Arkema E.V., Cozier Y.C. Epidemiology of sarcoidosis: current findings and future directions // Ther. Adv. Chronic Dis. - 2018. - Vol. 9, N 11. - P. 227-240.
- Barnard J., Rose C., Newman L. et al. Job and industry classifications associated with sarcoidosis in A Case-Control Etiologic Study of Sarcoidosis (ACCESS) // J. Occup. Environ. Med. - 2005. - Vol. 47, N 3. - P. 226-234.
- Baughman R., Daniel A., Judson М. Concise Review of Pulmonary Sarcoidosis // Am. J. Respir. Сrit. Сare Med. - 2011. - Vol. 83. - P. 573-581.
- Baughman R.P., Field S., Costabel U. et al. Sarcoidosis in America. Analysis based on health care use // Ann. Am. Thorac. Soc. - 2016. - Vol. 13. - P. 1244-1252.
- Centers for Disease Control and Prevention (CDC). Sarcoidosis among U.S. Navy enlisted men, 1965-1993 // MMWR Morb. Mortal Wkly. Rep. - 1997. - Vol. 46, N 23. - P. 539-543.
- Izbicki G., Chavko R., Banauch G. et al. World Trade Center «sarcoid-like» granulomatous pulmonary disease in New York City Fire Department rescue workers // Chest. - 2007. - Vol. 131. - Р. 1414-1423.