Epidemiology of sarcoidosis in <scp>A</scp>fro‐<scp>C</scp>aribbean people: a 7‐year retrospective study in <scp>G</scp>uadeloupe

Coquart, N.; Cadelis, G.; Tressières, Benoît; Cordel, N.

doi:10.1111/ijd.12633

Cited by 28 publications

(21 citation statements)

References 11 publications

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“…In this study of the epidemiology of sarcoid arthropathy in a geographically well‐defined population, joint pain was a relatively common clinical manifestation, seen in 12% of patients with sarcoidosis. This frequency is consistent with previous population‐based studies that observed articular symptoms in 6–22% of patients . However, the current study is the first population‐based study to describe the detailed clinical characteristics of sarcoid arthropathy.…”

Section: Discussionsupporting

confidence: 92%

Clinical Characteristics of Sarcoid Arthropathy: A Population‐Based Study

Ungprasert

Crowson

Matteson

2016

Arthritis Care & Research

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Objective The epidemiology and clinical characteristics of sarcoid arthropathy are not well-described as only referral-based studies have been reported. This study aimed to use the data from a geographically well-defined population to characterize the clinical characteristics of sarcoid arthropathy. Methods An inception cohort of patients with incident sarcoidosis in 1976–2013 in a geographically well-defined population was identified based on comprehensive individual medical record review. Inclusion required physician diagnosis supported by histopathology and radiologic features of intrathoracic sarcoidosis, compatible clinical presentation, and exclusion of other granulomatous diseases. Patients with joint pain were then identified from this cohort. Results In 1976–2013, all 345 incident cases of sarcoidosis were identified. Symptoms of joint pain occurred in 42 patients (mean age 41.2 years, 57.1% female and 95% Caucasian), and 35 patients had swollen joint(s) on physical examination. Most patients had arthralgia prior to the diagnosis of sarcoidosis with an average time to diagnosis of 21 days. Of the 35 cases, oligoarthritis (two to four joints) was the most common pattern (88% of cases) followed by monoarthritis (6%) and polyarthritis (6%). Ankles were involved in 91% of cases. In the majority of patients (88%), the arthritis resolved within 6 weeks. The classic Lofgren syndrome was observed in 11 patients (26%). Conclusion Inflammatory arthritis occurs in a minority of patients with sarcoidosis. Acute oligoarthritis with bilateral ankles involvement was the most common pattern of sarcoid arthropathy. It should be noted that the generalizability of the results may be limited as the cohort was predominantly Caucasian.

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Section: Discussionsupporting

confidence: 92%

Clinical Characteristics of Sarcoid Arthropathy: A Population‐Based Study

Ungprasert

Crowson

Matteson

2016

Arthritis Care & Research

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“…The age distribution of subjects with sarcoidosis in our study was similar to that of subjects in Western studies [ 3 , 27 , 28 ], which show a monophasic pattern, and was unlike that of Japanese and Scandinavian subjects, which show a biphasic distribution [ 11 , 29 ]. On the other hand, the age distribution of males in the present study showed a bimodal pattern due to the presence of a younger peak in the age group 30–39 years that was distinct from that seen in Western populations with a single incidence peak in aged 40–59 years [ 3 , 12 , 30 ]. In a previous Korean study, the peak age of sarcoidosis in males was in their thirties [ 15 ], but the present study confirmed the second peak between ages 60–69 years.…”

Section: Discussioncontrasting

confidence: 76%

“…The annual incidence rate in Japan is low (1–2 in 10 5 population at risk) and appears to have a bimodal age distribution, with one peak at ages 25–34 years and another at ages 60–64 years [ 8 , 11 ], while Western countries showed a single incident peak at 55–64 years [ 9 ]. Sarcoidosis usually occurs more frequently in females [ 8 , 10 – 12 ], but male predominance has been observed in Northern Europe [ 7 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and incidence of sarcoidosis in Korea: a nationwide population-based study

Yoon

Kim

et al. 2018

Respir Res

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BackgroundThe prevalence and incidence of sarcoidosis varies worldwide. We estimated the prevalence and incidence of sarcoidosis in Korea using nationwide claims data from the Korean Health Insurance Review and Assessment Service.MethodsCases of sarcoidosis were identified for any visit between 2007 to 2016 that listed the Korean Classification of Disease, 7th edition code of sarcoidosis and rare incurable disease exempted calculation code. A narrow case definition was used as follows: 1) ≥ two sarcoidosis-coded visits within 1 year of the first claim, 2) no claims for other diseases that could form granuloma.ResultsA total of 4791 patients (narrow, n = 2388) visited medical institutions for sarcoidosis during the study period; 2999 patients (narrow, n = 1696) were newly identified between 2009 and 2015. The sarcoidosis prevalence was 9.37 per 105 people (narrow, 4.69) and was highest between ages 60–69 years. The incidence rate was 0.85 per 105 population at risk (narrow, 0.48), with the highest incidence rate between ages 50–59 years. For incident cases (mean age: 48.5 year), the age distribution in whole population and females showed monophasic patterns peaking at aged 50–59 years, while males had biphasic incidence peak at aged 30–39 years and 60–69 years. The annual incidence rates showed increasing trends from 0.85 per 105 population at risk in 2009 to 0.97 per 105 population at risk in 2015.ConclusionsIn comparison with previous reports, the prevalence and incidence of sarcoidosis in Korea have increased and middle-aged women showed the highest risk.Electronic supplementary materialThe online version of this article (10.1186/s12931-018-0871-3) contains supplementary material, which is available to authorized users.

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“…This study yielded an average annual incidence of 2.28 per 100,000 and prevalence of 21.09 per 100,000. 24…”

Section: North Americamentioning

confidence: 99%

Sarcoidosis around the Globe

Mateyo

Thomeer

2017

Semin Respir Crit Care Med

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Despite sarcoidosis having a worldwide occurrence, the epidemiological map still has gaps. Prevalence and incidence rates-inconsistences have been mainly due to a lack of uniformity in study definitions as well as data collection methods. Nonetheless, studies have been consistent in showing high prevalence and incidence in Scandinavian and African American populations. Data from racially diverse populations have consistently revealed highest incidence in people of African descent. Within populations, geographical (north-to-south gradient) and time clusters have also been demonstrated from place to place. Of great interest but still elusive to researchers is the cause of sarcoidosis. The most recent focus has mostly been on Mycobacteria species and Propionibacterium acnes, but results of research thus far have been less than outright and in some cases conflicting. Environmental exposures to such substances as mold and mildew and occupations such as agricultural employment, health care work, and firefighting have been widely cited as risk factors for diseases. Certain genotypes have been linked to sarcoidosis with familial and racial clusters apparent. Some disease phenotypes have also been linked to particular genes, leaving room for further genetic research. Sarcoidosis causes multisystemic morbidity, with pulmonary, cardiac, and neurological involvement carrying the worst prognosis. Disease phenotypes vary with ethnicity, suggesting a genetic predisposition; erythema nodosum is more common in Caucasian patients, cardiac manifestations in Japanese patients, and other extrathoracic disease in black patients.

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Epidemiology of sarcoidosis in Afro‐Caribbean people: a 7‐year retrospective study in Guadeloupe

Cited by 28 publications

References 11 publications

Clinical Characteristics of Sarcoid Arthropathy: A Population‐Based Study

Clinical Characteristics of Sarcoid Arthropathy: A Population‐Based Study

Prevalence and incidence of sarcoidosis in Korea: a nationwide population-based study

Sarcoidosis around the Globe

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