Sarcoidosis and Granulomatosis - Diagnosis and Management最新文献

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Cardiac Sarcoidosis 心脏结节病
Sarcoidosis and Granulomatosis - Diagnosis and Management Pub Date : 2020-07-29 DOI: 10.5772/intechopen.85310
Jhan Carlos Altamar Castillo, Miguel Jose Tejeda Camargo
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引用次数: 0
Pathology of Sarcoidosis and Differential Diagnostics of other Granulomatous Diseases 肉芽肿病的病理及其他肉芽肿性疾病的鉴别诊断
Sarcoidosis and Granulomatosis - Diagnosis and Management Pub Date : 2020-07-29 DOI: 10.5772/intechopen.90693
M. Samsonova, A. Chernyaev
{"title":"Pathology of Sarcoidosis and Differential Diagnostics of other Granulomatous Diseases","authors":"M. Samsonova, A. Chernyaev","doi":"10.5772/intechopen.90693","DOIUrl":"https://doi.org/10.5772/intechopen.90693","url":null,"abstract":"Granulomatous diseases are the heterogeneous group of the conditions of different etiologies with a variety of clinic syndromes and morphological features and nonuniform sensitivity to therapy, and the existence of granulomas as general dominate histological expression. Granuloma is indicative of chronic inflammation involving cells of the macrophage system and other inflammatory cells. After the antigen exposure, the activation of T-lymphocytes, macrophages, and epithelioid histiocytes leads to granuloma formation. Granuloma also contains the extracellular matrix produced by fibroblasts, which provide the boundary and isolation of antigen. Their etiology may classify granulomatous diseases as infectious and noninfectious. However, recent studies demonstrate that pathogenic microorganisms may cause the granuloma formation in diseases previously considered as noninfectious. In some cases, differentiation between infectious and noninfectious processes may be problematic. This chapter aims to highlight the multiformity of granulomatous diseases, characterize the pathologic features of different infectious and noninfectious granulomatosis, and delineate the diagnostic approach.","PeriodicalId":185700,"journal":{"name":"Sarcoidosis and Granulomatosis - Diagnosis and Management","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121106496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Particularities of Hepatic Sarcoidosis 肝结节病的特点
Sarcoidosis and Granulomatosis - Diagnosis and Management Pub Date : 2020-07-29 DOI: 10.5772/intechopen.90694
L. Iliescu, L. Toma
{"title":"Particularities of Hepatic Sarcoidosis","authors":"L. Iliescu, L. Toma","doi":"10.5772/intechopen.90694","DOIUrl":"https://doi.org/10.5772/intechopen.90694","url":null,"abstract":"Liver sarcoidosis is usually an underdiagnosed disease, which can have severe implications in the evolution of a patient. Due to the fact that sarcoidosis is a disease based on immunological disorders, it is only natural that the liver should be one of the first organs to be affected. The imaging of liver sarcoidosis is of marked importance, especially in the differential diagnosis of the disease. While the histology aspect of sarcoidosis is relatively clear and should prompt a positive diagnosis, finding a liver granuloma in ultrasonography raises a multitude of questions and implies extensive testing for diagnosis. Furthermore, treatment of liver sarcoidosis is controversial, taking into account the possibility of developing end-stage liver disease in patients with a long history of sarcoidosis. This chapter aims to review diagnostic and treatment options for liver sarcoidosis and to determine the best management of these patients.","PeriodicalId":185700,"journal":{"name":"Sarcoidosis and Granulomatosis - Diagnosis and Management","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124336801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Granulomatous Diseases Mimicking Sarcoidosis 类似结节病的肉芽肿性疾病
Sarcoidosis and Granulomatosis - Diagnosis and Management Pub Date : 2020-05-16 DOI: 10.5772/intechopen.92233
Ángel Robles-Marhuenda
{"title":"Granulomatous Diseases Mimicking Sarcoidosis","authors":"Ángel Robles-Marhuenda","doi":"10.5772/intechopen.92233","DOIUrl":"https://doi.org/10.5772/intechopen.92233","url":null,"abstract":"Granulomatous diseases are not infrequent in daily clinical practice. Granulomas are the expression of a sufficiently (partial) functioning immune system. Many diseases, with different etiologies (infection, autoimmunity, inflammatory, foreign bodies, malignancy, metabolites, chemicals, etc.) can cause granulomatous manifestations. The differential diagnostic process of a granulomatous disease should always be made in an interdisciplinary cooperation. Diagnostic procedures should be oriented to the clinical symptoms suggestive microbiological studies, and radiography but the diagnosis of a granulomatous disease should always be confirmed by histopathology when possible, sampling for histology or cytology. From a pathogenic point of view, they are divided into noninfectious and infectious granulomas. In the case of proven granulomatous inflammation, an infectious etiology should first be excluded (including mycobacteria, parasites, and fungi). From a clinical point of view, it is useful to separate granulomatosis into localized and disseminated forms, although this distinction can be sometimes artificial. Three types of localized granulomatous lesions can be distinguished: infectious granulomas, palisaded granulomas (granuloma annulare, necrobiosis lipoidica, and rheumatoid nodules), and foreign body granulomas. Disseminated granulomas can be divided into infectious, in particular tuberculosis, and noninfectious forms (autoimmune, neoplasia, etc.).","PeriodicalId":185700,"journal":{"name":"Sarcoidosis and Granulomatosis - Diagnosis and Management","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122570777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Granulomatous Interstitial Nephritis in Children Resulting from Wegener’s Granulomatosis, Crohn’s Disease, or Sarcoidosis 由韦格纳肉芽肿病、克罗恩病或结节病引起的儿童肉芽肿性间质性肾炎
Sarcoidosis and Granulomatosis - Diagnosis and Management Pub Date : 2019-03-19 DOI: 10.5772/INTECHOPEN.84491
G. Makovetskaya, L. Mazur, E. Balashova
{"title":"Granulomatous Interstitial Nephritis in Children Resulting from Wegener’s Granulomatosis, Crohn’s Disease, or Sarcoidosis","authors":"G. Makovetskaya, L. Mazur, E. Balashova","doi":"10.5772/INTECHOPEN.84491","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.84491","url":null,"abstract":"Granulomatous interstitial nephritis (GIN) is a rare type of kidney disease, the precise etiology of which is obscure, but is most commonly seen following drug therapy and infection. The main infections seen in the onset of this pathology, especially in immunocompromised patients, include mycobacteria and fungi. Granulomatous interstitial nephritis can be a manifestation of systemic diseases, such as Wegener’s granulomatosis, Crohn’s disease, or sarcoidosis. We present our experience with GIN diagnosis and management.","PeriodicalId":185700,"journal":{"name":"Sarcoidosis and Granulomatosis - Diagnosis and Management","volume":"39 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120853161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Introductory Chapter: Orofacial Sarcoidosis and Noncaseating Granulomatosis 导论章:口面结节病和非干酪化肉芽肿病
Sarcoidosis and Granulomatosis - Diagnosis and Management Pub Date : 2018-12-31 DOI: 10.5772/INTECHOPEN.83364
Sharareh Kamfar, T. Azizi, M. Motamedi
{"title":"Introductory Chapter: Orofacial Sarcoidosis and Noncaseating Granulomatosis","authors":"Sharareh Kamfar, T. Azizi, M. Motamedi","doi":"10.5772/INTECHOPEN.83364","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.83364","url":null,"abstract":"Sarcoidosis is a multi-organ, granulomatous disease of unknown etiology characterized by T-cell dysfunction and B-cell hyperactivity with increased local immune activity and inflammation that leads to the formation of noncaseating granulomas in the organs involved [1]. The lung and lymphatic system are the most commonly affected organs, but virtually any organ may be affected [2]. Other common sites of involvement include the skin, eye, central nervous system (CNS), and the heart [3]. Patients may present with different symptoms related to the disease stage and the specific organ involved [4]. Sarcoidosis is a global disease, and its prevalence has increased twofold over the past years [5]. Due to the clinical heterogeneity and variable diagnostic criteria in different countries, it is difficult to calculate the exact prevalence and incidence of sarcoidosis. Age, sex, race, and geographic origin significantly influence the incidence rate of sarcoidosis [6]. A definite diagnosis of the disease when an identifiable etiology and definitive diagnostic criteria is lacking remains challenging [3].","PeriodicalId":185700,"journal":{"name":"Sarcoidosis and Granulomatosis - Diagnosis and Management","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130626178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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