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Frequency of peripheral blood eosinophilia and obstructive airway disease in sarcoidosis.

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BACKGROUND/AIM There is limited information about peripheral blood eosinophilia (PBE) and airway obstruction in sarcoidosis. Since pulmonary sarcoidosis affects the airways, it is often confused with asthma. The aims of… Click to show full abstract

BACKGROUND/AIM There is limited information about peripheral blood eosinophilia (PBE) and airway obstruction in sarcoidosis. Since pulmonary sarcoidosis affects the airways, it is often confused with asthma. The aims of the study are to investigate airway obstruction and PBE in sarcoidosis patients and to examine the similarity of clinical presentation with asthma. MATERIALS AND METHODS The patients matching the ATS/ERS/WASOG diagnosis criteria and were between 18-80 years of age were included consecutively between 2018-2020. Other diseases causing granulomas were excluded. RESULTS 84 patients were included of which 26 (31%) had a PBE level of ? 300 µL with no significant difference seen between sarcoidosis stage and PBE (p > 0.05). A significant (p < 0.05) decrease was only seen in FEV1 as the stage of sarcoidosis progressed. Respectively 31 (36.9%), 12 (14.3%) and 4 (4.8%) patients had an obstructive, restrictive and mixed respiratory function disorder. Twenty-four (28.6%) subjects with sarcoidosis had history of asthma. Spring fever, eczema, and skin/nose allergy were noticed in 17 (20.2%) of the patients. CONCLUSION Mild PBE may be seen in sarcoidosis. Patients applying with PBE, airway obstruction, bronchial hyperreactivity along with spring fever, eczema, skin/ nose allergy, wheezing, chest tightness, shortness of breath and cough may be also evaluated in terms of sarcoidosis.

Keywords: airway obstruction; frequency peripheral; sarcoidosis; peripheral blood; blood eosinophilia

Journal Title: Turkish journal of medical sciences
Year Published: 2021

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