Clinical and immunological characteristics and specific features of the treatment of patients with recurrent sarcoidosis of respiratory organs
Kostina, Z.I.; Brazhenko, N.A.; Gerasimova, E.V.; Alekseev, D.I.; Kol'nikova, O.V.; Balashova, N.M.; Nasorina, R.N.
Problemy Tuberkuleza 3: 37-42
2001
ISSN/ISBN: 0032-9533 PMID: 11508232 Document Number: 539941
In the past 35 years, the authors have followed up 5600 patients with sarcoidosis of respiratory organs (SRO), among whom 1.2 and 10.7% were found to have single and multiple recurrences. The clinical manifestations of recurrent sarcoidosis were moderate, by showing a drastic reduction in the count of T and T"a" lymphocytes, as well as helper lymphocytes, and an increase of circulating immune complexes and immunoglobulins G, A, and M. Poor adaptive responses (AR) defined by the blood leukocyte and lymphocyte counts that reflect the body's nonspecific responsiveness were concurrently diagnosed. In chronic recurrent SRO, poor AR as stress and superactivation amount to as much as 86.1%. To optimize treatment, the patients were given adaptogens (thymaline, levamisole, dibasole, etc.) that make AR better, by enhancing the efficiency of treatment, reducing its duration, and improving prognosis.