Evidence map›Paper›PMID 24197607›Full record

ReviewDrugs & aging2013

Elderly-onset sarcoidosis: prevalence, clinical course, and treatment.

Yvan Jamilloux, Marc Bonnefoy, Dominique Valeyre, Loig Varron, Christiane Broussolle, Pascal Sève

Abstract readReview
PubMed Publisher
In one paragraph

Review in Drugs & aging, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Elderly-onset pulmonary sarcoidosis: A radiological approach to diagnosis.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2023
    Article
  7. Article
  8. Sarcoid Uveitis: An Intriguing Challenger.Medicina (Kaunas, Lithuania) · 2022
    Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Pulmonary Sarcoidosis: Diagnosis and Differential Diagnosis.Diagnostics (Basel, Switzerland) · 2021
    Review
  14. Article
  15. Article
  16. Morbidity and mortality in sarcoidosis.Current opinion in pulmonary medicine · 2014
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Yvan JamillouxDepartment of Internal Medicine, Hopital de la Croix-Rousse, Claude Bernard University Lyon I, 103 Grande rue de la Croix-Rousse, 69004, Lyon, France.
Marc Bonnefoy
Dominique Valeyre
Loig Varron
Christiane Broussolle
Pascal Sève
Hôpital de la Croix-Rousse · FRUniversité Claude Bernard Lyon 1 · FRHôpital Avicenne · FRHôpital Lyon Sud · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sarcoidosis is a systemic disorder of unknown cause characterized by its pathological hallmark, the non-caseating granulomas, and by variable clinical course. While most of the cases affect people aged between 25 and 40 years, approximately 30 % of cases occur in older patients. Elderly-onset sarcoidosis (EOS) is defined as the onset of sarcoidosis in people over 65 years of age. Specific studies on the incidence and prevalence of sarcoidosis in this subgroup are scarce. Several studies suggest that the clinical features of EOS differ from those of sarcoidosis in younger patients. Compared with younger patients, fatigue, uveitis and specific skin lesions are more common, while erythema nodosum and chest x-ray abnormalities are less frequent. The diagnosis of EOS is challenging and may be delayed for many months because of its insidious onset, low prevalence and similarity to other more common disorders. When there is a granulomatous reaction in the elderly, clinicians should doubt the diagnosis and first think of tuberculosis, neoplasia or rare settings such as granulomatosis with polyangiitis or granulomatous reaction due to interferon and tumour necrosis factor-α (TNFα) blockers. A minor salivary gland biopsy also has a higher accuracy for diagnosis in the elderly. The current management of EOS remains empiric because of the lack of randomized, controlled studies. However, the approach to treatment is similar, regardless of the age of the patient. The treatment may be complicated by co-morbidities and increased risk of toxicities from usual treatments, particularly steroids. This review discusses the epidemiology, clinical course, prognosis and treatment of EOS.

Indexed as

Practice Guidelines as TopicSarcoidosisAdrenal Cortex HormonesAgedAged, 80 and overAge FactorsDiagnosis, DifferentialDisease-Free SurvivalHumansImmunosuppressive AgentsPrevalenceTumor Necrosis Factor-alphaAdrenal Cortex HormonesImmunosuppressive AgentsTumor Necrosis Factor-alpha

Identifiers

PMID24197607
OpenAlexW2034873759

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.