J Korean Med Assoc.  2008 Oct;51(10):925-932. 10.5124/jkma.2008.51.10.925.

Sarcoidosis in Korea: Revisited

Affiliations
  • 1Department of Internal Medicine, Korea University College of Medicine, Korea. keunhae@unitel.co.kr

Abstract

Sarcoidosis is a multisystem disorder of unknown origin characterized by noncaseating granulomatous inflammation. This disorder has variable clinical course, ranging from benign self - limited recovery to life-long disability. Sarcoidosis is found worldwide; however, the incidence and clinical course of the disease vary among different ethnicity and geographic regions. Especially in Korea, sarcoidosis had been known as a very rare disease until the 1st and the 2nd nationwide surveys performed in 1993 and 1998 by the Korean Academy of Tuberculosis and Respiratory Diseases. Those surveys revealed gradually increasing incidence of biopsy-proven sarcoidosis in Korea (0.027/100,000 in 1993 to 0.125/100,000 in 1998), but still very rare, and the peak age was the 30's with a female predominance (64.6%). The respiratory symptom was the most common (42%) symptom and thoracic lesion including mediastinum was the most frequently (87%) involved organ. On the other hand, cardiac involvement of this disease was very rare (0.7%). In conclusion, sarcoidosis in Korea, is a still uncommon disorder, and clinical manifestations were similar to those of western countries. Additional nationwide survey should be performed and maintained in order to investigate the correct incidence and the course of clinical manifestations of sarcoidosis in near future.

Keyword

Sarcoidosis; Incidence; Clinical manifestation; Korea

MeSH Terms

Female
Hand
Humans
Incidence
Inflammation
Korea
Mediastinum
Rare Diseases
Sarcoidosis
Tuberculosis

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Lofgren's Syndrome-Acute Onset Sarcoidosis and Polyarthralgia: A Case Report
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Reference

References

1. Baughman RP, Lower EE. Sarcoidosis. Harrison's Principles of Internal Medicine. 17th ed.New York: McGraw Hill;2008. p. 2135–2142.
2. Wasfi Y, Newman LS. Sarcoidosis. Murray JF, Nadel JA, Mason RJ, Broddus VC, editors. Murray and Nadel's Textbook of Respiratory Medicine. 4th ed.Philadelphia: Elsevier Saunders;2005. p. 1634–1649.
3. Moller DR. Systemic Sarcoidosis. Fishman AP, editor. Fishman's Pulmonary Diseases and Disorders. 4th ed.New York: Mc Graw Hill;2008. p. 1125–1142.
4. Iannuzzi MC, Rybicki BA, Teirstein AS. Sarcoidosis. N Engl J Med. 2007; 357:2153–2165.
Article
5. Costabel U, Hunninghake GW. ATS/ERS/WASOG statement on sarcoidosis. Sarcoidosis Statement Committee. American Thoracic Society. European Respiratory Society. World Association for Sarcoidosis and Other Granulomatous Disorders. Eur Respir J. 1999; 14:735–737.
6. Rybicki BA, Major M, Popovich JJ, Maliarik MJ, Iannuzzi MC. Racial differences in sarcoidosis incidence: a 5-year study in a health maintenance organization. Am J Epidemiol. 1997; 145:234–241.
Article
7. Rybicki BA, Iannuzzi MC. Epidemiology of sarcoidosis: recent advances and future prospects. Semin Respir Crit Care Med. 2007; 28:22–35.
Article
8. Pietinalho A, Hiraga Y, Hosoda Y, Löfroos AB, Yamaguchi M, Selroos O. The frequency of sarcoidosis in Finland and Hokkaido, Japan. A comparative epidemiological study. Sarcoidosis 1995 12:. 61–67.
9. Morimoto T, Azuma A, Abe S, Usuki J, Kudoh S, Sugisaki K, Oritsu M, Nukiwa T. Epidemiology of sarcoidosis in Japan. Eur Respir J. 2008; 31:372–379.
Article
10. National survey of sarcoidosis in Korea. scientific committee in Korean academy of tuberculosis and respiratory diseases. Tuberc Respir Dis. 1992; 39:453–473.
11. Kim DS. Sarcoidosis in Korea: report of the Second Nationwide Survey. Sarcoidosis Vasc Diffuse Lung Dis 2001 18:. 176–180.
12. Newman LS, Rose CS, Bresnitz EA, Rossman MD, Barnard J, Frederick M, Terrin ML, Weinberger SE, Moller DR, Mc-Lennan G, Hunninghake G, DePalo L, Baughman RP, Iannuzzi MC, Judson MA, Knatterud GL, Thompson BW, Teirstein AS, Yeager HJ, Johns CJ, Rabin DL, Rybicki BA, Cherniack RARG. A case control etiologic study of sarcoidosis: environmental and occupational risk factors. Am J Respir Crit Care Med 2004 170:. 1324–1330.
13. Rossman MD, Kreider ME. Lesson learned from ACCESS (A Case Controlled Etiologic Study of Sarcoidosis). Proc Am Thorac Soc. 2007; 4:453–456.
14. Semenzato G. ACCESS: A Case Control Etiologic Study of Sarcoidosis. Sarcoidosis Vasc Diffuse Lung Dis. 2005; 22:83–86.
15. Hernandez-Pando R, Bornstein QL, Aguilar Leon D, Orozco EH, Madrigal VK, Martinez CE. Inflammatory cytokine production by immunological and foreign body multinucleated giant cells. Immunology. 2000; 100:352–358.
Article
16. Grunewald J, Eklund A. Role of CD4+ T cells in sarcoidosis. Proc Am Thorac Soc. 2007; 4:461–464.
17. Agostini C, Adami F, Semenzato G. New pathogenetic insights into the sarcoid granuloma. Curr Opin Rheumatol. 2000; 12:71–76.
Article
18. Zissel G, Prasse A, Müller-Quernheim J. Sarcoidosis-immunopathogenetic concepts. Semin Respir Crit Care Med. 2007; 28:3–14.
Article
19. Teirstein AS, Judson MA, Baughman RP, Rossman MD, Yeager HJ, Moller DRACCESoSAWG. The spectrum of biopsy sites for the diagnosis of sarcoidosis. Sarcoidosis Vasc Diffuse Lung Dis. 2005; 22:139–146.
20. Baughman RP, Teirstein AS, Judson MA, Rossman MD, Yeager HJ, Bresnitz EA, DePalo L, Hunninghake G, Iannuzzi MC, Johns CJ, McLennan G, Moller DR, Newman LS, Rabin DL, Rose C, Rybicki B, Weinberger SE, Terrin ML, Knatterud GL, Cherniak RCCESoSArg. Clinical characteristics of patients in a case control study of sarcoidosis. Am J Respir Crit Care Med. 2001; 164:1885–1889.
Article
21. Shorr AF, Torrington KG, Hnatiuk OW. Endobronchial involvement and airway hyperreactivity in patients with sarcoidosis. Chest. 2001; 120:881–886.
Article
22. Yeager H, Rossman MD, Baughman RP, Teirstein AS, Judson MA, Rabin DL, Iannuzzi MC, Rose C, Bresnitz EA, DePalo L, Hunninghakes G, Johns CJ, McLennan G, Moller DR, Newman LS, Rybicki B, Weinberger SE, Wilkins PC, Cherniack RARG. Pulmonary and psychosocial findings at enrollment in the ACCESS study. Sarcoidosis Vasc Diffuse Lung Dis. 2005; 22:147–153.
23. Byun HJ, Won CH, Huh CH, Cho SY, Kim BJ, Kim MN, Park HN, Chang SE, Choi JH, Lee YW, Choe YB, Ahn KJ, Lee AY. Clinical Observation of Sarcoidosis. Korean J Dermatol. 2007; 45:877–883.
24. Koh YM, Chung KJ, Park SJ, Kang KW, Suh GY, Chung MP, Kim H, Kwon OJ, Rhee CH. Clinical Course of Untreated Sarcoidosis. Tuberc Respir Dis 1999 47:. 807–816.
25. Grutters JC vdBJ. Corticosteroid treatment in sarcoidosis. Eur Respir J. 2006; 28:627–636.
26. Coker RK. Guidelines for the use of corticosteroids in the treatment of pulmonary sarcoidosis. Drugs. 2007; 67:1139–1147.
Article
27. Statement on sarcoidosis. Joint Statement of the American Thoracic Society (ATS), the European Respiratory Society (ERS) and the World Association of Sarcoidosis and Other Granulomatous Disorders (WASOG) adopted by the ATS Board of Directors and by the ERS Executive Committee, February 1999. Am J Respir Crit Care Med. 1999; 160:736–755.
28. Baughman RP, Costabel U, du Bois RM. Treatment of sarcoidosis. Clin Chest Med. 2008; 29:533–548.
Article
29. Paramothayan S, Lasserson T. Treatments for pulmonary sarcoidosis. Respir Med. 2008; 102:1–9.
Article
30. Baughman RP, Iannuzzi M. Tumour necrosis factor in sarcoidosis and its potential for targeted therapy. BioDrugs. 2003; 17:425–431.
Article
31. Denys BG, Bogaerts Y, Coenegrachts KL, De Vriese AS. Steroid-resistant sarcoidosis: is antagonism of TNF-alpha the answer? Clin Sci (Lond). 2007; 112:281–289.
32. Baughman RP, Drent M, Kavuru M, Judson MA, Costabel U, du Bois R, Albera C, Brutsche M, Davis G, Donohue JF, Müller-Quernheim J, Schlenker-Herceg R, Flavin S, Lo KH, Oemar B, Barnathan ESSI. Infliximab therapy in patients with chronic sarcoidosis and pulmonary involvement. Am J Respir Crit Care Med. 2006; 174:795–802.
Article
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