title: [Mediastinopulmonary sarcoidosis; the indications for corticosteroid therapy].
abstract: The authors, following prolonged observation for from one to ten years, on average 5 years, of 60 cases of thoracic sarcoidosis, of lymph node or miliary type, propose a therapeutic attitude which, although not new, is frankly oriented towards therapeutic abstinence in the lymph node forms, and very restricted indications for hormone therapy in the miliary forms. In this respect, they agree with many authors, in particular English language authors, who consider that corticosteroid therapy is only justified in the acute forms, with a disturbance of general health and characteristic functional involvement. Such an attitude may appear shocking to those who tend to prescribe corticosteroids for their immediate efficacy, but in the long-term, it appears justified.
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use*; D002908:Chronic Disease; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008134:Long-Term Care; D008171:Lung Diseases / Q000188:drug therapy* / Q000473:pathology; D008297:Male; D008477:Mediastinal Diseases / Q000188:drug therapy* / Q000473:pathology; D008775:Methylprednisolone / Q000627:therapeutic use; D011241:Prednisone / Q000627:therapeutic use; D012008:Recurrence; D012075:Remission, Spontaneous; D012507:Sarcoidosis / Q000188:drug therapy* / Q000473:pathology
chemical_list: D000305:Adrenal Cortex Hormones; D011241:Prednisone; D008775:Methylprednisolone
vernacular_title: La sarcoïdose médiastino-pulmonaire; les indications de la corticothérapie