Pulmonary sarcoidosis causes atypical rigidity of the lung as well as reduction of lung capacity or the quantity of air that can be held by this organ. The ailment sarcoidosis or “Boeck disease” present varied symptoms because it depends on the organs affected. This is not a common illness and is characterized by the development of inflamed nodules called granulomas. This may occur not just in the lungs but in practically any organ of the body. The inception of the illness has not been determined or made clear so far; however, there are presumptions that the condition is triggered by environmental and genetic factors. Fifty percent of reported cases were developed without symptoms. It can evolve into an acute and chronic illness. Acute sarcoidosis frequently heals with no treatment and devoid of complication; while chronic sarcoidosis is a lot more severe. A patient may be treated with corticosteroids. Other incidences, the illness may affect respiratory functioning that may possibly need mechanical assistance. Approximately five percent of sarcoidosis patients die eventually.
With simple radiography of the chest in a pulmonary sarcoidosis case, inflamed hilar nodes can be observed. This illness inflames the lung which results to scarring development of cysts. When there is mass formation, coughing and breathing may become troublesome. Sometimes, there will be fungal colonization in the cysts that can result to bleeding and the patient may cough out blood. Some patients die of heart failure due to a serious condition of lung fibrosis.
Since sarcoidosis can affect not only the lungs but other organs as well, special diagnostic evaluations are used to verify the diagnosis of sarcoidosis and which organ affected. Physicians may need imaging tests, laboratory examinations, functional tests, and histological analysis just to confirm the exact sarcoidosis diagnosis. Provided that majority of patients’ usual inflamed nodules or granulomas become observable in the lungs, it is advised with all types of incidences that imaging tests or chest X-ray is performed. Contingent to the outcomes of the scan, there are notable number of types of diagnoses for sarcoidosis which also account for damages to the lung organ.
When there are evident damages to the lung in pulmonary sarcoidosis, doctors recommend patients to go through functional testing in order to obtain evaluation of the patients’ lung function. To verify the exact diagnosis for sarcoidosis, a direct visualization of the lung spaces and mediastinal area through bronchoscopy or mediatinoscopy are necessitated. Bronchoscopy may involve a saline solution for bronchoalveolar lavage.
The solution will go through analysis in order to determine T-lymphocytes subgroups. This ailment can also be exactly identified through biopsy or taking a sample of tissue in the course of direct visualization procedures. Results of blood test may indicate increased levels of the enzyme that is converted to angiotensin. For serious cases, there is elevated sedimentation rate of the RBCs which denote inflammation. For patients who have been specifically diagnosed with pulmonary sarcoidosis, the major aspect that these patients will have to go through is pulmonary radiography. With this imaging procedure performed on the chest, inflamed or enlarged nodules or granulomas may be observed. There are also changes in the lung organ that may be seen such as tiny appearances of lymph nodes.