The complex evaluation of the efficacy of different methods of corticosteroids therapy in lung sarcoidosis treatment

Abstract

Th problem of rational therapy tactics in lung sarcoidosis (LS) has not yet been solved notwithstanding the long-term study of this pathology; there is not a single point of view to the complex evaluation of organs and systems function in different stages of LS as well. It has been demonstrated that the use of inhaled corticosteroids as a single-therapy is suitable in the initial stage of LS. A combination of inhaled and oral corticosteroids is appropriate in later stages of the disease taking into account the systemic character of the pathologic manifestations. This way diminishes the risk of corticosteroids therapy complications. The Echo-DOG method is also useful and enables to detect not only the degree of respiratory and cardiac disorders but to control the efficacy of the treatment carried out including the patients with the initial manifestations of the disease.