Sarcoidosis - Cleveland Clinic Center for Continuing Education
Sarcoidosis - Cleveland Clinic Center for Continuing Education
Sarcoidosis - Cleveland Clinic Center for Continuing Education
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
What is new in Epidemiology?<br />
• ACCESS study (Baughman et al, AJRCCM 2001)<br />
(a case control etiologic study of sarcoidosis)<br />
-enrolled 736 patients within 6 months of diagnosis at 10 ctrs in the US<br />
-same number of age, sex, race matched controls<br />
-follow-up of first 240 patients <strong>for</strong> 2 years<br />
• Peak age 35-45 yr, one third >55 yr, women older<br />
• Blacks: more extrathoracic, more severe lung disease<br />
• Women: higher incidence <strong>for</strong> EN, ocular, neurological disease<br />
• Occupational and environmental exposure with increased risk:<br />
-musty odors, insecticides, air conditioning, raising birds<br />
-employment in agriculture, teaching, and others<br />
-smoking: strong negative predictor
Change language