RESUMEN
The authors analysed clinical, radiological and laboratory aspects of respiratory tract sarcoidosis in servicemen, analysed the quality of life, correlation analysis to determine the risk factors for relapse of the disease. It was found that respiratory tract sarcoidosis of I and II stage was diagnosed in 85.5% of servicemen; in 72% of servicemen prevails asymptomatic course of a disease. Despite the prevalence of asymptomatic forms of the disease, the quality of life of servicemen with sarcoidosis has reduced. The factors associated with recurrent disease: age > 35 years; the presence of clinical manifestations; forced vital capacity < 85% of predicted values; systemic glucocorticoid therapy in history. Designed range forecast recurrent course of sarcoidosis in young patients having a high predictive value.
Asunto(s)
Personal Militar , Sarcoidosis Pulmonar/diagnóstico , Sarcoidosis Pulmonar/tratamiento farmacológico , Sarcoidosis Pulmonar/fisiopatología , Adulto , Factores de Edad , Femenino , Humanos , Masculino , Pronóstico , Calidad de Vida , Factores de RiesgoRESUMEN
The data on the epidemiology and aetiology of sarcoidosis, the current classifications are presented. The basic provisions of the legal framework of medical management of patients suffering from sarcoidosis are given. The authors provided an analysis of the characteristics of diagnosis and treatment of sarcoidosis in the military, based on which we propose an algorithm of examination of patients with respiratory sarcoidosis in military health care facilities the Russian Defence Ministry, the recommended treatment regimens and order dynamic observation of patients. Invited to provide skilled care to patients with respiratory sarcoidosis selection based on the Main Military Clinical Burdenko Hospital specialized centre (department with bunks for the treatment of patients with sarcoidosis).
Asunto(s)
Algoritmos , Atención a la Salud/métodos , Medicina Militar/métodos , Sarcoidosis Pulmonar/diagnóstico , Sarcoidosis Pulmonar/terapia , Atención a la Salud/economía , Atención a la Salud/normas , Diagnóstico Diferencial , Humanos , Medicina Militar/economía , Medicina Militar/normas , Federación de Rusia , Sarcoidosis Pulmonar/clasificación , Sarcoidosis Pulmonar/economíaRESUMEN
The authors analyzed the methods of diagnostics, clinical peculiarities of sarcoidosis in different groups of patients, treated in multidisciplinary military hospital. The authors also analyzed the possibility of estimation of optimum diagnostic and medical tactics on the basis of prospective observation after patients with morphologically confirmed sarcoidosis, treated in pulmonary department of the Main Military Clinical Hospital n. a. N.N. Burdenko.