Sarcoidosis, A Simple Guide To The Condition, Treatment And Related Diseases
By Kenneth Kee
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About this ebook
Sarcoidosis is multisystem inflammatory disease
Incidence peaks in persons aged 25-35 years of age
Inflammation occurs in the lymph nodes, lungs, eyes and organs of the body
Forming non-caseating granulomas which usually resolve spontaneously
Things that may trigger the disease include infections
A person with a family history is likely to develop the condition
Granulomas are clusters of immune cells which affects organs of the body
It most commonly affects the lungs with lymph nodes enlargement mainly
There is chest pain, dry cough and breathlessness
There is also joint pain, fatigue and general weakness
To diagnose this condition, a biopsy of the lung is necessary.
Biopsy is usually done on the enlarged lymph nodes using bronchoscopy
Treatment is usually with corticosteroids therapy.
Immunosuppressive medicines may be necessary
This medicine may need to be taken for 1 to 2 years to improve lung function.
Rarely persons with severe heart or lung damage may need an organ transplant.
-An original poem by Kenneth Kee
Interesting Tips about the Sarcoidosis
A Healthy Lifestyle
1. Take a well Balanced Diet
2. Sarcoidosis symptoms will often get better without treatment.
If the eyes, heart, nervous system, or lungs are affected, corticosteroid medicine is usually prescribed. This medicine may need to be taken for 1 to 2 years.
Medicines that suppress the immune system (immunosuppressive medicines) are sometimes also needed.
In rare cases, some persons with very severe heart or lung damage (end-stage disease) may need an organ transplant.
Treatment for Sarcoidosis also depends on the stage:
a. Stage 0 patients do not need treatment
b. Stage 1 patients should never be treated unless there is lung function impairment
c. Stage 2 patients should be treated if pulmonary function is impaired or chest x rays reveal extensive involvement.
Observation of the condition for 3 to 6 months and treat with steroids if condition becomes worse
d. Stage 3 patients should be treated if the pulmonary function is affected.
Corticosteroids are prescribed more freely in these patients
Corticosteroids will suppress active lesions and are particularly indicated for extra thoracic disease in a dose of 40mg to 60mg prednisolone dosage per day for one year then slowly tapered off.
Corticosteroids also reduce the formation of fibrosis in the lungs
Local steroids are required for eye disease but systemic steroids are necessary for posterior uveitis.
3. Keep bones and body strong
Bone marrow produces our blood
Eat foods rich in calcium like yogurt, cheese, milk, and dark green vegetables.
Eat foods rich in Vitamin D, like eggs, fatty fish, cereal, and fortified milk.
Eat food rich in Vitamins B and C such as green vegetables and fruits
Zinc and other minerals are important to the body
4. Get enough rest and Sleep
Avoid stress and tension
5. Exercise and stay active.
It is best to do weight-bearing exercise such as walking, jogging, stair climbing, dancing, or lifting weights for 21⁄2 hours a week.
One way to do this is to be active 30 minutes a day at least 5 days a week.
Begin slowly especially if a person has not been active.
6. Do not drink more than 2 alcohol drinks a day for a man or 1 alcohol drink a day for a woman.
Alcohol use also increases the chance of falling and breaking a bone.
Alcohol can affect the neurons and brain cells.
7. Stop or do not begin smoking.
It also interferes with blood supply and healing.
Chapter 1
Sarcoidosis
Sarcoidosis is a disease characterized by the formation of non-caseating granulomas in a variety of tissues which usually resolve spontaneously.
Sarcoidosis is a disease in which inflammation occurs in the lymph nodes, lungs, liver, eyes, skin, or o
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Sarcoidosis, A Simple Guide To The Condition, Treatment And Related Diseases - Kenneth Kee
Sarcoidosis
A
Simple
Guide
To
The Condition,
Treatment
And
Related Diseases
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2014 Smashwords Edition
Published By Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes the Sarcoidosis, Treatment and Associated Diseases or in vernacular terms
(What You Need to Treat Sarcoidosis)
This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
Ode To Sarcoidosis
Sarcoidosis is multisystem inflammatory disease
Incidence peaks in persons aged 25-35 years of age
Inflammation occurs in the lymph nodes, lungs, eyes and organs of the body
Forming non-caseating granulomas which usually resolve spontaneously
Things that may trigger the disease include infections
A person with a family history is likely to develop the condition
Granulomas are clusters of immune cells which affects organs of the body
It most commonly affects the lungs with lymph nodes enlargement mainly
There is chest pain, dry cough and breathlessness
There is also joint pain, fatigue and general weakness
To diagnose this condition, a biopsy of the lung is necessary.
Biopsy is usually done on the enlarged lymph nodes using bronchoscopy
Treatment is usually with corticosteroids therapy.
Immunosuppressive medicines may be necessary
This medicine may need to be taken for 1 to 2 years to improve lung function.
Rarely persons with severe heart or lung damage may need an organ transplant.
-An original poem by Kenneth Kee
Interesting Tips about the Sarcoidosis
A Healthy Lifestyle
1. Take a well Balanced Diet
2. Sarcoidosis symptoms will often get better without treatment.
If the eyes, heart, nervous system, or lungs are affected, corticosteroid medicine is usually prescribed. This medicine may need to be taken for 1 to 2 years.
Medicines that suppress the immune system (immunosuppressive medicines) are sometimes also needed.
In rare cases, some persons with very severe heart or lung damage (end-stage disease) may need an organ transplant.
Treatment for Sarcoidosis also depends on the stage:
a. Stage 0 patients do not need treatment
b. Stage 1 patients should never be treated unless there is lung function impairment
c. Stage 2 patients should be treated if pulmonary function is impaired or chest x rays reveal extensive involvement.
Observation of the condition for 3 to 6 months and treat with steroids if condition becomes worse
d. Stage 3 patients should be treated if the pulmonary function is affected.
Corticosteroids are prescribed more freely in these patients
Corticosteroids will suppress active lesions and are particularly indicated for extra thoracic disease in a dose of 40mg to 60mg prednisolone dosage per day for one year then slowly tapered off.
Corticosteroids also reduce the formation of fibrosis in the lungs
Local steroids are required for eye disease but systemic steroids are necessary for posterior uveitis.
3. Keep bones and body strong
Bone marrow produces our blood
Eat foods rich in calcium like yogurt, cheese, milk, and dark green vegetables.
Eat foods rich in Vitamin D, like eggs, fatty fish, cereal, and fortified milk.
Eat food rich in Vitamins B and C such as green vegetables and fruits
Zinc and other minerals are important to the body
4. Get enough rest and Sleep
Avoid stress and tension
5. Exercise and stay active.
It is best to do weight-bearing exercise such as walking,