Sarcoidosis is a condition where small bead-like patches of inflamed cells, called granulomas, show up in the body. They usually appear in the lungs and nearby lymph nodes. Sarcoidosis can also affect other parts of the body, including the muscles, eyes, and skin.
Many people with sarcoidosis have no symptoms at all. But in others, the condition can cause long-term organ damage. For example, some people have fiber-like scar tissue in the lungs, which can cause breathing problems. Sarcoidosis may develop over time and cause symptoms that last for years, or it may show up and go away quickly.
People who have a variation of sarcoidosis, called Lofgren's syndrome, may have symptoms that include swollen lymph nodes, fever, painful, reddened nodules, and joint pain. Lofgren's syndrome generally tends to clear up on its own within 1 to 2 years.
More African-Americans than Caucasians have sarcoidosis in the United States.
Many people with sarcoidosis have no symptoms at all.
Some people with sarcoidosis in their lungs, called pulmonary sarcoidosis, may have the following signs and symptoms:
When sarcoidosis affects areas of the body other than the lungs, symptoms can include:
Researchers do not know exactly what causes sarcoidosis. Some think it is due to an overactive immune system that responds too strongly to an invading organism. Other researchers think sarcoidosis may be:
Anyone can get sarcoidosis, although it is more common among the following:
Sarcoidosis can be hard to diagnose. You may have to see several different doctors, including a pulmonologist (lung specialist). To begin, your doctor will rule out other conditions that could be causing your symptoms, such as rheumatoid arthritis. The following tests may help diagnose the condition:
About half of all people with sarcoidosis get better without treatment. For others, medications, such as corticosteroids, may help reduce:
Lifestyle changes may help control complications, such as kidney stones or other damage. While complementary therapies for sarcoidosis have not been studied very much, they may help you feel better as part of an overall treatment plan.
If you smoke, quit. Quitting smoking can ease lung symptoms.
Sarcoidosis can be a long-lasting disease, so it is important to eat a healthy diet filled with fruits, vegetables, and whole grains.
Exercise regularly. Be sure to ask your doctor before starting a new exercise program, especially if sarcoidosis leaves you short of breath.
Corticosteroids, such as prednisone are considered the first-line treatment for lowering inflammation from sarcoidosis. Corticosteroid pills can have some serious side effects if taken in high doses for long periods. Side effects may include:
Your doctor will likely suggest regular check ups and tests.
Other medications sometimes used for sarcoidosis include those that suppress the immune system, such as:
However, there are no long-term studies on whether these medications work to treat sarcoidosis.
Other medications that may be used include:
Only very severe cases need surgery, such as a lung or heart transplant.
Researchers do not have any evidence that herbs or supplements treat sarcoidosis, but you may decide to use them as part of your overall treatment plan. Always tell your doctor about the herbs and supplements you are using or considering using, because some supplements may interfere with other medicines.
These nutritional tips will help your overall health:
The following supplements may also help overall health:
Herbs may strengthen and tone the body's systems. As with any therapy, you should work with your health care provider to get your problem diagnosed before starting any treatment.
Studies have not found any herbs that specifically treat sarcoidosis. However, the following herbs may help overall health. Talk to your doctor before taking any herb or supplement if you have sarcoidosis.
A few case reports suggest that homeopathic remedies may improve the general well-being of individuals with sarcoidosis. An experienced homeopath can prescribe a regimen for treating sarcoidosis that is designed specifically for each individual. The primary remedies used by individuals who reported improvements in their symptoms include:
Other homeopathic remedies that have been used clinically for the condition are as follows:
Women with sarcoidosis can still get pregnant. But if you are thinking about having a baby, talk to your doctor. Some of the medications used to treat sarcoidosis, such as methotrexate, can be harmful to the baby. Up to 65% of women may see their symptoms improve during pregnancy, while 5% may find symptoms get worse. Some women may have a flare of symptoms after giving birth. Pregnant women with sarcoidosis should avoid being exposed to x-rays.
Sarcoidosis is associated with excessive daytime sleepiness. Complications from sarcoidosis usually happen in only the most serious cases, and can include heart, kidney, and lung damage. Long-term use of corticosteroids may cause:
The prognosis for most people with sarcoidosis is good. Only 15% of those with sarcoidosis have symptoms that get worse. About 5% develop severe lung problems, which increases the risk of death. Almost half of all people with sarcoidosis get better without any therapy. Treatments used today, such as corticosteroids, often help ease the inflammation associated with the condition.
Boots AW, Drent M, de Boer VC, Bast A, Haenen GR. Quercetin reduces markers of oxidative stress and inflammation in sarcoidosis. Clin Nutr. 2011 Aug;30(4):506-12. doi: 10.1016/j.clnu.2011.01.010. Epub 2011 Feb 15.
Boots AW, Drent M, Swennen EL, Moonen HJ, Bast A, Haenen GR. Antioxidant status associated with inflammation in sarcoidosis: A potential role for antioxidants. Respir Med. 2009 Mar;103(3):364-72.
Cox CE, Donohue JF, Brown CD, Kataria YP, Judson MA. Health-related quality of life of persons with sarcoidosis. Chest. 2004 Mar;125(3):997-1004.
Culver D. Sarcoidosis. Immunology and Allergy Clinics of North America. Philadelphia, PA: W. B. Saunders Company; 2012; 32(4).
de Kleijn WP, Drent M, De Vries J. Nature of fatigue moderates depressive symptoms and anxiety in sarcoidosis. Br J Health Psychol. 2013; 18(2):439-52.
Doty JD, Mazur JE, Judson MA. Treatment of sarcoidosis with infliximab. Chest. 2005 Mar;127(3):1064-71.
Dryden GW Jr, Deaciuc I, Arteel G, McClain CJ. Clinical implications of oxidative stress and antioxidant therapy. Curr Gastroenterol Rep. 2005;7(4):308-16.
Fauci AS, Braunwald E, Hauser SL, et al, eds. Harrison's Principles of Internal Medicine. 17th ed. New York, NY: McGraw-Hill. 2008.
Ferri: Ferri's Clinical Advisor 2015, 1st ed. Philadelphia, PA: Elsevier Mosby. 2014.
Funk JL, Oyarzo JN, Frye JB, et al. Turmeric extracts containing curcuminoids prevent experimental rheumatoid arthritis. J Nat Prod. 2006;69(3):351-5.
Goldman L, Ausiello DA, et al, eds. Cecil Textbook of Medicine. 23rd ed. Philadelphia, PA: W.B. Saunders. 2007.
Gonclaves C, Dinis T, Batista MT. Antioxidant properties of proanthocyanidins of Uncaria tomentosa bark decoction: a mechanism for anti-inflammatory activity. Phytochemistry. 2005;66(1):89-98.
Goroll AH, ed. Primary Care Medicine. 5th ed. Philadelphia, PA: Lippincott Williams & Wilkins Publishers. 2007.
Judson MA, Boan AD, Lackland DT. The clinical course of sarcoidosis: presentation, diagnosis, and treatment in a large white and black cohort in the United States. Sarcoidosis Vasc Diffuse Lung Dis. 2012; 29(2):119-27.
Krieg C. Role of diet in the prevention of common kidney stones. Urol Nurs. 2005;25(6):451-7.
Lichtenstein AH, Russell RM. Essential nutrients: food or supplements? Where should the emphasis be? JAMA. 2005;294(3):351-8.
Massey L. Magnesium therapy for nephrolithiasis. Magnes Res. 2005;18(2):123-6.
Nguyen YT, Dupuy A, Cordoliani F, Vignon-Pennamen MD, Lebbé C, Morel P, Rybojad M. Treatment of cutaneous sarcoidosis with thalidomide. J Am Acad Dermatol. 2004 Feb;50(2):235-41.
Patterson KC, Huang F, Oldham JM, Bhardwaj N, Hogarth DK, Mokhlesi B. Excessive daytime sleepiness and obstructive sleep apnea in patients with sarcoidosis. Chest. 2013; 143(6):1562-8.
Rakel RE, ed. Conn's Current Therapy 2008. Philadelphia, PA: W.B. Saunders. 2008.
Reviewed By: Steven D. Ehrlich, NMD, Solutions Acupuncture, a private practice specializing in complementary and alternative medicine, Phoenix, AZ. Review provided by VeriMed Healthcare Network. Also reviewed by the A.D.A.M. Editorial team.
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