Clinical features of cardiac lesion in patients with generalized sarcoidosis

The article presents a clinical observation of two patients with generalized sarcoidosis. The woman typical granulomatous changes in the lungs and lymph nodes combined with atrial fibrillation, kidney failure and hereditary thrombophilia, men with atherosclerotic coronary arteries, re-myocardial inf...

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Main Authors: E.N. POPOVA, L.A. STRIZHAKOV, V.I. SHOLOMOVA, A.B. PONOMAREV, S.V. MOISEEV, M.U. BROVKO, I.B. BONDARENKO, L.A. PONOMAREVA, V.V. FOMIN
Format: Article
Language:Russian
Published: "Consilium Medicum" Publishing house 2018-01-01
Series:Терапевтический архив
Subjects:
Online Access:http://ter-arkhiv.ru/en/archive/2018/vol-90_1_2018/klinicheskie-osobennosti-porazheniya-serdtsa-pri-generalizovannom-sarkoidoze_526/?element
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spelling doaj-da44676063154f5597aa82bed3b2f8c32020-11-25T01:29:38Zrus"Consilium Medicum" Publishing houseТерапевтический архив0040-36602309-53422018-01-01901545910.26442/terarkh201890154-59Clinical features of cardiac lesion in patients with generalized sarcoidosisE.N. POPOVA0L.A. STRIZHAKOV1V.I. SHOLOMOVA2A.B. PONOMAREV3S.V. MOISEEV4M.U. BROVKO5I.B. BONDARENKO6L.A. PONOMAREVA7V.V. FOMIN8I.M. Sechenov First Moscow State Medical University, Faculty of Medicine, Chair of Internal Medicine No.1, Moscow, RussiaI.M. Sechenov First Moscow State Medical University, Faculty of Medicine, Chair of Internal Medicine No.1, Moscow, RussiaI.M. Sechenov First Moscow State Medical University, Faculty of Medicine, Chair of Internal Medicine No.1, Moscow, RussiaI.M. Sechenov First Moscow State Medical University, Faculty of Medicine, Chair of Internal Medicine No.1, Moscow, RussiaI.M. Sechenov First Moscow State Medical University, Faculty of Medicine, Chair of Internal Medicine No.1, Moscow, RussiaI.M. Sechenov First Moscow State Medical University, Faculty of Medicine, Chair of Internal Medicine No.1, Moscow, RussiaI.M. Sechenov First Moscow State Medical University, Faculty of Medicine, Chair of Internal Medicine No.1, Moscow, RussiaI.M. Sechenov First Moscow State Medical University, Faculty of Medicine, Chair of Internal Medicine No.1, Moscow, RussiaI.M. Sechenov First Moscow State Medical University, Faculty of Medicine, Chair of Internal Medicine No.1, Moscow, RussiaThe article presents a clinical observation of two patients with generalized sarcoidosis. The woman typical granulomatous changes in the lungs and lymph nodes combined with atrial fibrillation, kidney failure and hereditary thrombophilia, men with atherosclerotic coronary arteries, re-myocardial infarction, cholestasis, tubulointerstitial nephritis. The accession of systemic manifestations was accompanied by increase of level of angiotensin-converting enzyme in the blood serum, morphological examination of lung tissue in both cases there were high histological activity of vasculitis and granulomatous inflammation. Extrapulmonary symptoms regressed when conducting immunosuppressive therapy. Discusses modern aspects of diagnosis of sarcoidosis in clinical practice. http://ter-arkhiv.ru/en/archive/2018/vol-90_1_2018/klinicheskie-osobennosti-porazheniya-serdtsa-pri-generalizovannom-sarkoidoze_526/?elementsarcoidosisextrapulmonary manifestation of sarcoidosiscardiomyopathycardiac rhythm disorderatherosclerosis
collection DOAJ
language Russian
format Article
sources DOAJ
author E.N. POPOVA
L.A. STRIZHAKOV
V.I. SHOLOMOVA
A.B. PONOMAREV
S.V. MOISEEV
M.U. BROVKO
I.B. BONDARENKO
L.A. PONOMAREVA
V.V. FOMIN
spellingShingle E.N. POPOVA
L.A. STRIZHAKOV
V.I. SHOLOMOVA
A.B. PONOMAREV
S.V. MOISEEV
M.U. BROVKO
I.B. BONDARENKO
L.A. PONOMAREVA
V.V. FOMIN
Clinical features of cardiac lesion in patients with generalized sarcoidosis
Терапевтический архив
sarcoidosis
extrapulmonary manifestation of sarcoidosis
cardiomyopathy
cardiac rhythm disorder
atherosclerosis
author_facet E.N. POPOVA
L.A. STRIZHAKOV
V.I. SHOLOMOVA
A.B. PONOMAREV
S.V. MOISEEV
M.U. BROVKO
I.B. BONDARENKO
L.A. PONOMAREVA
V.V. FOMIN
author_sort E.N. POPOVA
title Clinical features of cardiac lesion in patients with generalized sarcoidosis
title_short Clinical features of cardiac lesion in patients with generalized sarcoidosis
title_full Clinical features of cardiac lesion in patients with generalized sarcoidosis
title_fullStr Clinical features of cardiac lesion in patients with generalized sarcoidosis
title_full_unstemmed Clinical features of cardiac lesion in patients with generalized sarcoidosis
title_sort clinical features of cardiac lesion in patients with generalized sarcoidosis
publisher "Consilium Medicum" Publishing house
series Терапевтический архив
issn 0040-3660
2309-5342
publishDate 2018-01-01
description The article presents a clinical observation of two patients with generalized sarcoidosis. The woman typical granulomatous changes in the lungs and lymph nodes combined with atrial fibrillation, kidney failure and hereditary thrombophilia, men with atherosclerotic coronary arteries, re-myocardial infarction, cholestasis, tubulointerstitial nephritis. The accession of systemic manifestations was accompanied by increase of level of angiotensin-converting enzyme in the blood serum, morphological examination of lung tissue in both cases there were high histological activity of vasculitis and granulomatous inflammation. Extrapulmonary symptoms regressed when conducting immunosuppressive therapy. Discusses modern aspects of diagnosis of sarcoidosis in clinical practice.
topic sarcoidosis
extrapulmonary manifestation of sarcoidosis
cardiomyopathy
cardiac rhythm disorder
atherosclerosis
url http://ter-arkhiv.ru/en/archive/2018/vol-90_1_2018/klinicheskie-osobennosti-porazheniya-serdtsa-pri-generalizovannom-sarkoidoze_526/?element
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