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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 2 مورد

Monitoring disease activity in sarcoidosis

Monitoring disease activity in sarcoidosis
Patients with active disease
Every 3 to 6 months
ROS including fever, fatigue, weight loss, visual disturbance, dyspnea, cough, palpitations, abdominal pain, numbness, tingling, lightheadedness, syncope
PE including skin examination, palpation of lymph nodes, lung examination
Laboratory tests based on sites of disease activity and medications
Spirometry and diffusing capacity, for patients with known lung impairment
Every 12 months
CBC and differential
Creatinine
Calcium
AST, ALT, Alkaline phosphatase
25 hydroxy vitamin D and 1,25 dihydroxy vitamin D, for patients with a history of calcium derangements or bone density abnormalities
Chest radiograph
As indicated by symptoms or other tests
HRCT
ECG
Echocardiogram
Holter monitoring
Cardiac MRI
Ophthalmologic examination, for patients on hydroxychloroquine or with visual symptoms
Urinalysis
TSH
Bone density (when glucocorticoid therapy initiated and then every 3 years)
MRI with gadolinium, for those with neurologic symptoms
Patients with inactive disease for 2 or more years
Every 12 to 18 months
ROS including fever, fatigue, weight loss, visual disturbance, rash, dyspnea, cough, palpitations, abdominal pain, numbness, tingling, lightheadedness, syncope
PE including skin examination, palpation of lymph nodes, lung examination
Spirometry, diffusing capacity
CBC and differential
Creatinine
Calcium
Liver enzymes
ALT: alanine aminotransferase; AST: aspartate aminotransferase; CBC: complete blood count; ECG: electrocardiogram; HRCT: high-resolution computed tomography; MRI: magnetic resonance imaging; PE: physical examination; ROS: review of systems; TSH: thyroid stimulating hormone.
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