title: Bone health issues in sarcoidosis.
abstract: Sarcoidosis affects the bone directly in only a minority of patients. Nonetheless, bone health should be considered in the management of all patients with sarcoidosis. Deficiency in vitamin D, an important contributor to bone health, has been linked to autoimmune disease incidence. Studies have shown that patients with sarcoidosis frequently have low levels of vitamin D-25 but may have normal or increased levels of vitamin D-1,25. In addition, granuloma formation has been linked to a failure of the innate immune system, which could be related to a deficiency in vitamin D, although this relationship has not been fully characterized. Furthermore, many patients with sarcoidosis are treated with corticosteroids, which are known to induce osteoporosis. Therefore, bone health may be impacted in several ways in sarcoidosis--by direct involvement with granulomas, vitamin D deficiency, or corticosteroid therapy.
authors.affiliation: Sections of Rheumatology and Pulmonary Medicine, University of Chicago Medical Center, 5841 South Maryland Avenue, MC0930, Room N005B, Chicago, IL 60637, USA. nsweiss@medicine.bsd.uchicago.edu
authors.forename: Nadera J
authors.initials: NJ
authors.lastname: Sweiss
authors.forename: Elyse E
authors.initials: EE
authors.lastname: Lower
authors.forename: Peter
authors.initials: P
authors.lastname: Korsten
authors.forename: Timothy B
authors.initials: TB
authors.lastname: Niewold
authors.forename: Murray J
authors.initials: MJ
authors.lastname: Favus
authors.forename: Robert P
authors.initials: RP
authors.lastname: Baughman
mesh_terms: D005938:Glucocorticoids / Q000009:adverse effects; D006099:Granuloma / Q000209:etiology / Q000378:metabolism; D006801:Humans; D007113:Immunity, Innate / Q000502:physiology; D010024:Osteoporosis / Q000150:complications* / Q000378:metabolism; D012507:Sarcoidosis / Q000150:complications* / Q000378:metabolism; D014807:Vitamin D / Q000502:physiology; D014808:Vitamin D Deficiency / Q000150:complications / Q000378:metabolism / Q000503:physiopathology
chemical_list: D005938:Glucocorticoids; D014807:Vitamin D