Is Stage 4 sarcoidosis a terminal?

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asked Aug 27, 2023 in Diseases Conditions by Atharvology (1,860 points)
Is Stage 4 sarcoidosis a terminal?

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answered Aug 28, 2023 by 2cupshakur (4,420 points)
Stage 4 sarcoidosis is sometimes a terminal condition although you can still survive with stage 4 sarcoidosis although it's at the irreversible stage.

Stage 4 sarcoidosis means that permanent damage to the lungs has occurred and even if the granulomas are removed you will still experience the symptoms of pulmonary fibrosis.

Sarcoidosis affects the skin by starting as tiny, grain like lumps that are called granulomas and it can also affect any organ in the body.

The organ that is most commonly affected by sarcoidosis is the lungs and also the lymph nodes.

Sarcoidosis can also affect other organs including the nervous system, heart, skin and eyes.

A sarcoidosis flare up will look like bumps that tend to develop on the face (often around the eyes) or neck.

Called papules, the bumps that appear as a result of sarcoidosis can be reddish brown, violet, tan, brown, or the same color as your skin.

They're usually painless.

Sarcoidosis does not show up in blood work although you can see a low white count(5% to 10%), high calcium in the blood or urine and also elevated ACE (angiotensin converting enzyme) levels and inflammatory markers.

The way you diagnose sarcoidosis is through a biopsy of the skin, lymph node or the lung.

The biopsy for sarcoidosis helps determine whether granulomas which are tiny collections of immune cells are present.

A skin test known as the Lveim Siltzbach skin test can also be used to diagnose sarcoidosis.

Sarcoidosis can and sometimes does turn into lymphoma as people with sarcoidosis are up to 11 times more likely to develop lymphoma.

The best treatment for sarcoidosis is corticosteroids which are medications that reduce the inflammation in your lungs and other body systems.

Corticosteroids are the first line of treatment for treating sarcoidosis.

The diseases that can mimic sarcroidosis include neoplasm (lymphoma, metastasis), infectious etiologies (meningoencephalitis) and other inflammatory diseases (angiitis/vasculitis, demyelinating disorders).

The vitamins you should avoid with sarcoidosis are calcium and Vitamin D supplements as there's an increased risk of side effects from taking calcium and vitamin D supplements when you have sarcoidosis.

The most common presenting symptoms of sarcoidosis are erythema nodosum, night sweats, fatigue, weight loss, eye and skin manifestations, and persistent dry cough.

Sarcoidosis begins when the immune system goes into overdrive and the body then starts to attack it's own tissues and organs.

When this happens it results in inflammation and then causes granulomas to develop in your organs.

The parts of the body that sarcoidosis affects are the brain, lungs, joints, lymph nodes, testes, nerves, bowel, spleen, liver, heart, muscles, nose, eyes and skin.

Granulomas in your lungs can also cause narrowing of the airways and also inflammation as well as scarring of the lung tissue which is also called fibrosis.

The cause of death of sarcoidosis patients is damage to major organs such as the heart and the lungs.

Involvement of the lungs in sarcoidosis is very problematic and can lead to internal bleeding and scarring of the lung tissue.

The average age of sarcoidosis patients is between 25 years of age and 40 years of age which account for 70 percent of cases of sarcoidosis.

The other 30% of people with sarcoidosis are people over 40 years of age.

The hallmark of sarcoidosis is the presence of noncaseating granuloma, which is a cluster of mononuclear cells, epithelioid cells, CD4+T cells with a few CD8+ T cells in the peripheral zone and macrophages.

Sacroidosis can affect your legs and the ankles are the most commonly affected joint with sarcoidosis.

The joints of the lower limbs can also be affected by sarcoidosis.

The skin is also affected in many people with sarcoidosis.

This can cause tender bumps or patches to develop on the skin (particularly the lower legs and arms), as well as bumps on the upper body.

These can be reddish-brown or purple, depending on your skin color and the type of sarcoidosis you have.

Sarcoidosis does affect your eyes and can lead to inflammatory eye disease.

Ocular sarcoidosis can occur with sarcoidosis and can involve any part of your eye and it's adnexal tissues and when it does it can lead to uveitis, episcleritis/scleritis, eyelid abnormalities, conjunctival granuloma, optic neuropathy, lacrimal gland enlargement and orbital inflammation.

If sarcoidosis is not treated it can progress and lead to permanent scarring of the lungs which can make it difficult for you to breathe and also sometimes it can cause pulmonary hypertension.

Untreated sarcoidosis can also cause eye inflammation and affect almost any part of the eye and can cause damage to your retina which can lead to blindness.

Sarcoidosis can make you feel stiff in your joints and pain in your joints and you may also have dryness of the eyes, blurry vision, skin rashes and or raised bumps on your skin.

With sarcoidosis you may also feel fatigued.

The disease that is similar to sarcoidosis is Chronic beryllium disease which is pathologically and clinically indistinguishable from sarcoidosis.

Chronic Beryllium Disease is a chronic granulomatous lung disease caused by inhaling airborne beryllium after becoming sensitized to beryllium.

Some common symptoms of CBD are shortness of breath, unexplained coughing, fatigue, weight loss, fever, and night sweats.

Sarcoidosis is a serious condition because if left untreated it can become life threatening if it progresses to severe lung disease or heart disease.

There is no cure for sarcoidosis, but most people do very well with no treatment or only modest treatment.

In some cases, sarcoidosis goes away on its own.

However, sarcoidosis may last for years and may cause organ damage.

The virus that causes sarcoidosis is mycobacterium, although other microbial agents also have been suggested to play a role in causing sarcoidosis.

While the causes of sarcoidosis are not yet fully known, sarcoidosis is associated with increased immune system activity.

This causes clusters of immune cells called granulomas to infiltrate your organs and lymph nodes.

Sarcoidosis most commonly affects your lungs and lymph nodes, but it can affect any organ in your body.

The cause of pulmonary sarcoidosis is unknown.

Experts believe that bacteria, viruses, or chemicals might trigger the disease.

Sarcoidosis may also be genetic which means a person is more likely to develop sarcoidosis if someone his or her close family has it.

Autoimmune thyroid disease, Sjogren's syndrome, and ankylosing spondylitis are the most frequently demonstrated autoimmune diseases in sarcoidosis patients and are mostly seen after the diagnosis of sarcoidosis.

Life stress has been associated with impaired lung function in sarcoidosis and the magnitude of stressful life events is higher in sarcoidosis patients, who in turn do not cope with stress as well as control groups.

Similarly, a case of sarcoidal granulomas mimicking scar sarcoidosis in a patient diagnosed with COVID‐19 infection has been reported.

Furthermore, a new‐onset, biopsy‐confirmed sarcoid‐like reaction in the setting of COVID‐19 pneumonia has been also described elsewhere.

Sarcoidosis is a rare condition that causes small patches of swollen tissue, called granulomas, to develop in the organs of the body.

It often affects the lungs and lymph nodes, and can also affect your skin.

There is no cure for sarcoidosis, and in many cases, no treatment is required and patients recover on their own.

Most people with sarcoidosis have a normal life expectancy.

About 1 to 8 percent of cases are fatal, and it depends on the severity and location of the disease.

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