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Treatment of Sarcoidosis: A Multidisciplinary Approach
Journal article   Open access   Peer reviewed

Treatment of Sarcoidosis: A Multidisciplinary Approach

Alicia K. Gerke
Frontiers in immunology, Vol.11, pp.545413-545413
11/19/2020
DOI: 10.3389/fimmu.2020.545413
PMCID: PMC7732561
PMID: 33329511
url
https://doi.org/10.3389/fimmu.2020.545413View
Published (Version of record) Open Access

Abstract

Sarcoidosis is a systemic disease of unknown etiology defined by the presence of noncaseating granulomatous inflammation that can cause organ damage and diminished quality of life. Treatment is indicated to protect organ function and decrease symptomatic burden. Current treatment options focus on interruption of granuloma formation and propagation. Clinical trials guiding evidence for treatment are lacking due to the rarity of disease, heterogeneous clinical course, and lack of prognostic biomarkers, all of which contribute to difficulty in clinical trial design and implementation. In this review, a multidisciplinary treatment approach is summarized, addressing immunuosuppressive drugs, managing complications of chronic granulomatous inflammation, and assessing treatment toxicity. Discovery of new therapies will depend on research into pathogenesis of antigen presentation and granulomatous inflammation. Future treatment approaches may also include personalized decisions based on pharmacogenomics and sarcoidosis phenotype, as well as patient-centered approaches to manage immunosuppression, symptom control, and treatment of comorbid conditions.
Immunology Life Sciences & Biomedicine Science & Technology

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