Table 1.
Prognostic factor in sarcoidosis according to clinical, radiographic and laboratory findings
Prognostic factor according to | Poor prognosis | Good prognosis |
---|---|---|
Gender | Female More symptoms Lower quality of life More functional impairment Higher incidence of coexisting autoimmune disorders More hospitalization |
Male Ankle arthritis |
Age | Elderly-onset | Younger-onset |
Ethnicity | African-American Extrapulmonary involvement Progressive disease High mortality rates |
Caucasian Erythema nodosum Löfgren syndrome |
Genetic | HLA-DQB1*1501 HLA-DQB1*0602 Annexin A11 gene |
HLA-DQB1*0201 HLA-DRB1*0301 TNF-308A allele MEFV gene |
Clinical phenotype | Chronic sarcoidosis | Acute sarcoidosis |
Pulmonary involvement | Low PFT and DLCO Bronchial obstruction Pulmonary fibrosis PH |
Acute alveolitis Normal PFT Normal DLCO |
Heart involvement | A-V block, ventricular tachycardia, myocarditis | Pericarditis |
Neurosarcoidosis | epilepsy Intracranial mass Spinal cord Optic nerve involvement |
Facial nerve palsy Aseptic meningitis Isolated headache Vertigo |
Ocular involvement | Panuveitis | Anterior uveitis |
Skin involvement | Lupus pernio Chronic skin lesion |
Erythema nodosum Scar sarcoidosis |
Musculoskeletal involvement | Chronic arthritis Jaccoud deformity Dactilytis Granulomatous myositis Cystic bone lesions |
Acute arthritis Arthralgia |
Radiographic | Stage 3 and Stage 4 | Stage 1 and Stage 2 |
Laboratory | Neopterin, sIL-2R, KL-6, TNF-alpha, chitotriosidase, tryptase, chitotriosidase, hypercalcemia, hypercalciuria, Th17 | Low TNF-alpha CRP |
PFT: Pulmonary function tests, A-V: Atrioventricular, sIL-2R: Soluble interleukine-2 receptor, TNF: Tumor necrosis factor, KL-6: Krebs Von den Lungen-6, Th: T-helper; DLCO: Diffusion lung carbon monoxide, PH: Pulmonary hypertension, CRP: C-reactive protein