• D Kirsten, H Schaedel, H D Göring, and B Wiesner.
• Z Gesamte Inn Med. 1983 May 1; 38 (9): 257-63.

AbstractDue to the advances in endoscopic technique, gallium-67-scintigraphy, immunologic methods as well as particularly by measurement of ACE in recent years the way to a pathogenetically oriented diagnostics and therapy of pulmonary sarcoidosis became evident. In this case it is important to abandon the x-ray and bronchoscopic diagnostics and the therapy planning according to the x-ray and to introduce increasingly activity markers into the clinical routine. As to newer methods in this case above all the ACE-measurement and the diagnostic lavage are offered. The latter method may still be applied in one bronchological session for the purpose of the still important histological ascertainment. Also the lung function tests and particularly the oxyergometry should increasingly be used in this sense. Great clinical attention must be paid to the problem of myocardial sarcoidosis, since very much depends upon the well-timed and consequent therapy. Indeed, it is above all the heart sarcoidosis which decisively deteriorates the prognosis of the altogether benign disease. The newer immunologic techniques, including the elaboration of the lavage fluid are at present above all still of theoretical interest.

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