This inflammatory disease is often misdiagnosed as tuberculo
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Sarcoidosis, an inflammatory disease, is grossly underdiagnosed in India. The reason: it looks a lot like tuberculosis (TB), one of the deadliest infectious diseases here.

Of course, doctors take many things into account before they form a diagnosis. In India, TB is much more common than sarcoidosis, so doctors have a stronger reason to suspect TB in a patient with symptoms like a persistent dry cough, fever and wheezing.

“The trouble is that TB medication can have side-effects like acute liver failure. They pose an unnecessary risk and cost for sarcoidosis patients," explained Dr Ayush Pandey, a medical practitioner associated with "Usually, sarcoidosis resolves itself in a few years. In cases where a patient needs medication, a course of corticosteroids is often enough,” he added.

Given the significant government push to end TB in India by 2025, it is important to relook at sarcoidosis - a disease that looks so much like TB, but isn’t.

What is sarcoidosis?

Doctors don’t yet know what causes sarcoidosis. What they do know is that it is an inflammatory disease that is triggered by the body’s immune response. The disease often affects the lungs and the lymph nodes, but it can also impact the eyes, skin, heart and other organs. Patients typically develop tiny non-cancerous lumps called granuloma on their bodies.

The list of symptoms of sarcoidosis is long and varied. From fatigue, fever, swollen lymph nodes to dry cough, shortness of breath, rashes, sores or lesions on nose or cheeks, dry eyes and arrhythmia (irregular heartbeat), sarcoidosis can have different symptoms depending on which part of the body it affects.

Sarcoidosis in India

“The true burden of sarcoidosis in India is not clearly known as reliable epidemiological data are not available,” Professor S.K. Sharma, Head of the Department of Medicine, All India Institute of Medical Sciences, New Delhi, and A. Mohan of the Department of Emergency Medicine, Venkateswara Institute of Medical Sciences, Tirupati, wrote that in their 2004 article 'Sarcoidosis in India: Not so Rare!' published in the Journal, Indian Academy of Clinical Medicine.

According to Prof. Sharma et al., sarcoidosis affected the lungs in 90% of confirmed cases in India - another reason

M●●●l N●●●●●●●●●●●●●r and 1 others like this
Dr. Dr R●●u
Dr. Dr R●●u Internal Medicine
Don' t neglect even the small symptoms, be sure first and then go for the treatment. (deadly fever)
Sep 11, 2019Like