Federal clinical recommendations for sarcoidosis diagnosis and treatment: accents and comments

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Abstract

Sarcoidosis is a multi-organ granulomatosis of unknown origin. Diagnosis and treatment of this disease have not been unified for a long time. In 2022, many authors from three scientific medical communities presented federal clinical guidelines on sarcoidosis, which were approved by the Ministry of Healthcare of Russia in the same year. Current article contains the most important practical aspects of this disease, which include the absence of specific markers, need to compare radiation, clinical, morphological and functional data, the presence of variants of clinical course of sarcoidosis without respiratory damage. It is extremely important for physicians to know and understand when and how to start treatment of sarcoidosis, how to manage patients, avoiding early prescription of hormones and cytostatics and responding in a timely manner to the progression of the disease and the development of life-threatening conditions.

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About the authors

Alexander A. Vizel

Kazan State Medical University of the Ministry of Healthcare of Russia

Author for correspondence.
Email: lordara@inbox.ru
ORCID iD: 0000-0001-5028-5276

md, professor, head of the department of phthisiology and pulmonology

Russian Federation, 420012, Kazan, 49 Butlerova Str.

Sergey N. Avdeev

First Moscow State Medical University of the Ministry of Healthcare of Russia (Sechenov University); Research Institute of Pulmonology of FMBA

Email: serg_avdeev@list.ru
ORCID iD: 0000-0002-5999-2150

md, professor, academician of RAS, head of the department of pulmonology, N.V. Sklifosovsky Institute of Clinical Medicine 

Russian Federation, 107045, Moscow, 3 Bolshaya Sukharevskaya Sq.; Moscow

Andrey G. Malyavin

Moscow State University of Medicine and Dentistry of the Ministry of Healthcare of Russia

Email: maliavin@mail.ru
ORCID iD: 0000-0002-6128-5914

md, professor, professor of the department of phthisiology and pulmonology

Russian Federation, 107150, Moscow, 39/1 Losinoosyrovskaya Str.

Evgeny I. Shmelev

Central Research Institute of Tuberculosis

Email: eishmelev@mail.ru

md, professor, head of the department of differential diagnostics

Russian Federation, 107564, Moscow, 2 Yauzskaya alley

Irina Yu. Vizel

Kazan State Medical University of the Ministry of Healthcare of Russia

Email: tatpulmo@mail.ru
ORCID iD: 0000-0002-8855-8177

md, professor of the Russian academy of natural sciences, associate professor of the department of phthisiology and pulmonology

Russian Federation, 420012, Kazan, 49 Butlerova Str.

References

  1. Саркоидоз. Монография. Под ред. А.А. Визеля (серия монографий Российского респираторного общества; гл. ред. серии – А.Г. Чучалин). М.: Издательский холдинг «Атмосфера». 2010; 416 с. [Sarcoidosis. Monograph. Ed. by Wiesel A.A. (a series of monographs of the Russian Respiratory Society; chief editor of the series – Chuchalin A.G.). Moscow: Publishing holding «Atmosfera”. 2010; 416 pp. (In Russ.)]. ISBN: 978-5-902123-34-7.
  2. Клинические рекомендации. Саркоидоз. Российское респираторное общество, общероссийская общественная организация «Российское научное медицинское общество терапевтов», общероссийская общественная организация «Педиатрическое респираторное общество». Рубрикатор клинических рекомендаций Минздрава России. 2022. ID: 736. Доступ: https://cr.minzdrav.gov.ru/schema/736_1 (дата обращения – 01.08.2023). [Clinical guidelines. Sarcoidosis. Russian Respiratory Society, Russian Scientific Medical Society of Internal Medicine, Pediatric Respiratory Society. Rubricator of clinical guidelines of the Ministry of Healthcare of Russia. 2022. ID: 736. URL: https://cr.minzdrav.gov.ru/schema/736_1 (date of access – 01.08.2023) (In Russ.)].

Supplementary files

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1. JATS XML
2. Рис. Алгоритм лечения пациентов с саркоидозом

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