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Article
Outline
Sarcoidosis- Definition,
Incidence, Etiology, Symptoms, Diagnosis, Prognosis, Homoeopathy
and Sarcoidosis, Case History
 Sarcoidosis-
Definition
Sarcoidosis is an inflammatory
disease that affects multiple organs in the body, but mostly the
lungs and lymph glands. In patients with sarcoidosis, abnormal
masses or nodules, called granulomas consisting of inflamed
tissues form in certain organs of the body. These granulomas
might alter the normal structure and possibly the function of
the affected organ(s).
Incidence
Sarcoidosis most often
occurs between 20 and 40 years of age, and is diagnosed more
often in women than in men.
Etiology
The
exact cause of sarcoidosis is not known. The disease is
associated with an abnormal immune response, but what triggers
this response is uncertain. How sarcoidosis spreads from one
part of the body to another is still being studied.
Symptoms
The
symptoms of sarcoidosis can vary greatly, depending on which
organs are involved. Most patients initially complain of a
persistent dry cough, fatigue, and shortness of breath. Other
symptoms and disease characteristics might include:
-
Tender, reddish
bumps or patches on the skin
-
Red and teary eyes
or blurred vision
-
Swollen and
painful joints
-
Enlarged and
tender lymph glands in the neck, armpits, and groin.
-
Enlarged lymph
glands in the chest and around the lungs
-
Nasal stuffiness
and hoarse voice
-
Pain in the hands,
feet, or other bony areas due to the formation of cysts in
bones
-
Kidney stone
formation
-
Enlarged liver
-
arrhythmias,
pericarditis, or heart failure
-
Nervous system
effects, including hearing loss, meningitis, seizures, or
psychiatric disorders (for example, dementia, depression,
psychosis)
In
some people, symptoms might begin suddenly and/or severely, and
subside in a short period of time. Others might have no outward
symptoms at all even though organs are affected. Still others
might have symptoms that appear slowly and subtly, but which
last or recur over a long time span.
Diagnosis
There
is no single way to diagnose sarcoidosis, since all the symptoms
and laboratory results can occur in other diseases. The
following are the main tools to diagnose sarcoidosis.
-
Chest X-rays
for cloudiness (pulmonary infiltrates) lymphadenopathy.
-
CT scan
for more detailed look at the lungs and lymph.
-
Pulmonary function
tests to
measure how well
the lungs are working.
-
Bronchoscopy
to inspect the
bronchial tubes and biopsy to look for granulomas and to
obtain material to rule out infection.
Prognosis
In
many people with sarcoidosis, the disease appears briefly and
then disappears without the person even knowing they have the
disease. Twenty percent to 30 percent of people have some
permanent lung damage. For 10 percent to 15 percent, sarcoidosis
is a chronic condition. In some people, the disease might result
in the deterioration of the affected organ. Sarcoidosis can be
fatal in up to 5 percent of patients.
Homoeopathy and Sacrcoidosis
Synthesis 9.2.1b - CHEST -
SARCOIDOSIS pulmonalis
ars-br.
Ars-i. Beryl.
lyc.
Mang-s.
nat-ar. parathyr.
pin-s. puls. Tub-m.
tub.
v-a-b.
Case
History
Patient’s name-
Gurdev Singh Goraya, Male- 24 years, DOC- 02-09-2007
Presenting
complaints
Low Grade Fever worse evening,
Loose motions off and on, Nausea, Vomiting off and on, Thirst-
Normal, Appetite- Normal, Stool- Frequent- normally formed
stool, Urine- Normal, Perspiration- Normal, Mentals- Suspicious,
Irritable, loathing of life, Desire- salt, Aversion- Fats,
Sleep- Normal, Alopecia, H/O Malaria- Plasmodium vivex
Investigations-
SGPT- 62
ACE (04-11-2007) -
122 (Normal- 08- 52 U/L)
Mx- Negative
TB Elisa- Equivocal
CT Thorax
(02-11-2007) - Mediastinal Lymphadenopathy. Bilateral Hilar
Lymphadenopathy.
Diagnosis-
Increased ACE- Negative Mx- CT
Findings positive for lymphadenitis = Sarcoidosis
Homoeopathic
Treatment-
First prescription-
05-09-2007
Ars. iodatum 200 weekly
Sac lac TDS
Second Prescription-
09-11-2007
Much better.
Tenesmus, Dysentry, Aphthous
ulcers in mouth with much salivation.
Merc sol. 30 TDS
Third
Prescription-21-12-2007
Much Better. CT-
Single Subcarinal Lymphnode. Other nodes dissolved.
ACE- 99.9 U/L
CST
Fourth Prescription-
05-03-2008
Almost asymptomatic,
cheerful.
ACE- 58.8 U/L
(Normal Range- 08- 52 U/L)
CST
Result
Complete cure of
Sarcoidosis with Homoeopathy.
All reports
attached.
  
  
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