[Sarcoidosis in children. Clinical manifestations, epidemiology, treatment and prognosis].
Sarcoidosis is a granulomatous disease of unknown aetiology, which may affect various organs. The diagnosis is obtained by the demonstration of epytheloid cell granulomas in an affected organ. The incidence of sarcoidosis in Danish children less than 15 years of age is 0.22-0.27/100.000 children/year, corresponding to approximately three new cases in Denmark each year. The disease often takes an asymptomatic course. During the period 1980-1992, three cases of paediatric sarcoidosis were observed in Copenhagen Country. All three had pulmonary involvement, and one had severe hypercalcaemia. In children less than five years of age, the disease is characterized by involvement of lungs, lymph nodes and eyes. Treatment, which is symptomatic, consists of systemic steroids. Due to the risk of growth retardation, the indication for treatment should be carefully considered and steroids administered at the lowest effective dose. Due to the lack of follow-up studies, the long term prognosis is unclarified.
Hoffmann
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AL
Børneafdelingen, Amtssygehuset i Gentofte.
Milman
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N
D000293:Adolescent; D002648:Child; D003718:Denmark / Q000453:epidemiology; D005260:Female; D005938:Glucocorticoids / Q000008:administration & dosage; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology; D008297:Male; D011241:Prednisone / Q000008:administration & dosage; D011379:Prognosis; D012507:Sarcoidosis / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology; D017565:Sarcoidosis, Pulmonary / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology
D005938:Glucocorticoids; D011241:Prednisone
Sarkoidose hos børn. Kliniske manifestationer, epidemiologi, behandling og prognose.