Sarcoidosis Answers for Physicians, Nurses and Patients

Here at SarcInfo, between 2002 and 2004, we identified the cause of Sarcoidosis, and successfully trialled a curative antimicrobial therapy. During 2005 and 2006 the US FDA designated the antibiotics Clindamycin and Minocycline as Orphan Products in the treatment of Sarcoidosis, and studies are ongoing elsewhere.

For information about this breakthrough, please post your questions at the current study-site, or the Autoimmunity Research Foundation.
 
This archive of the historic study is maintained by volunteers from the Foundation. The material here provides useful background, but much of it is now out-of-date.

** Patient Tutorials **

 Click here to read "WHY DID I GET SARCOIDOSIS? WHY ME? 

  Click here to read "REMISSION IN SARCOIDOSIS"  

 How a Pathologist can see Bacteria causing Sarcoidosis 

"How does Doctor measure my ACE, and my D-metabolites?"

 Weaning from Prednisone

 Protecting your eyes in Sarcoidosis

Vit.D and Calcium in Sarcoidosis

Hypervitaminosis D Symptoms    The SarcInfo F.A.Q.

Medical Abbreviations          CBC Radio Show

Protocol Phase 1-First 3 months

 

** Papers for Physicians **

Antibacterial Therapy induces Remission 

Implications for Autoimmune Disease 
(Here is Fulltext preprint)

Antibacterial mechanisms for ARBs 

Antibiotics in Sarcoidosis- The 1st Year 

Rationale for abx in Sarcoidosis 

1,25-D and Angiotensin II

"New Treatments Emerge.."

Jarisch-Herxheimer in Sarcoidosis

Vit.D and Calcium in Sarcoidosis

Protocol Phase 1-First 3 months

The NIH ACCESS Study finds Sarcoidosis does not go away - Click here to see, and print, the brochure


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 What's inside your granulomas?
Author: Pages2 (---.vnnyca.adelphia.net)
Date:   07-02-02 10:53

I have always felt that the cause and cure for Sarcoidosis will be found at the cellular level. That most likely will be within the Granuloma. This is where the following questions are based.

For instance 252 particles of “Man Made Materials” (MMM), was identified within my Granulomas yet my illness is still by the doctors who I have seen called Sarcoidosis - unknown cause.

Was this because I also had empty Granulomas?

Hope you understand that it seems so simple yet is so confusing.
Can you tell me a physician who will say that bacterial inside the Granuloma caused Sarcoidosis? If there is an article that says that rickettsiae “Rocky Mountain Spotted Fever, (RMSF)?
or other bacterial causes Sarcoidosis? This was found on Autopsy, which was very unfortunate for these dear Sarcoidosis Buddies. Autopsies seem to be the area by which most is learned about Sarcoidosis. There are so many articles that have reported finding of Sarcoidosis as rare that have since had to change and update due to Autopsies proving the information incorrect. For instance an article about Sarcoidosis may state that Sarcoidosis of the heart effects a small percentage of those who have Sarcoidosis then the Autopsies may prove the information incorrect and that the percentage is higher than first thought.

After identifying the bacterial DNA within the Granuloma from Sarcoidosis patients are these doctors saying that a bacterium causes Sarcoidosis or will they say that the bacteria were just there? Will the doctors say that they do not know which came first the bacteria or the Sarcoidosis? Will the doctor say that person had Sarcoidosis first and then that person also was exposed to the bacteria?

Would bacterium die within a short time once a specimen is taken? Could this be part of the problem?

Can you understand that this is what I was up against when I went to the NJ, The doctors did not respond to the fact that there was a large amount of “Man Made Materials” (MMM), that was not suppose to be inside of my body. It did not seem to mater how the materials had gotten there. The interest seemed to be that my husband did not think that I had been exposed to the materials that he works with and that he has worked with over the last 30 years. He still works at this location and would not want to jeopardize his job. Also from my own research regarding “Man Made Materials” (MMM), and based on what the lab person said who did my biopsy analysis, my exposure most likely was a first occupational exposure meaning from my job. Actually my exposure in my opinion was a mixed exposure. This all points to truth tell laws, which may be the whole point of our unknown disease. Could it be that we are afraid and unwilling to admit that there are substances in our line of work that may be killing us?

Look at the Materials Data Sheets at your business. Remember that you will not find Sarcoidosis listed due to the fact that the cause of Sarcoidosis is unknown. What you will find is that many products that many people work with are known to cause Respiratory problems and Cancers. It is not that there are not enough numbers of people with Sarcoidosis it may be that numbers are not counted when it comes to Sarcoidosis. Could it be that Sarcoidosis is not viewed as serious enough disease? Often times Sarcoidosis is a misdiagnosis. Could this fact that a diagnosis of Sarcoidosis instead of a known Respiratory disease due to MMM be protecting dusty industries?

This discussion can not only focus on bacteria due to “The Chicken and the Egg” issues of which came first the bacteria/ “Man Made Materials” (MMM), within the Granuloma.

It all came down to “The Chicken and the Egg” children’s story. That is how my medical condition was handled. Which came first the “Man Made Materials” (MMM), or the Granuloma? Some Granulomas were empty. How could my Granulomas continue to hold on to so many particles of “Man Made Materials” (MMM)? Could the question also be asked it the Granulomas got tired of holding metals and let go? Some of my tissue was necroses or dying. The fact that my tissue is dying did not seem to cause any concern.

Another way to explain what my system had done was to tell me that my lymph nodes were the garbage pails of the body and that it was good that the “Man Made Materials” (MMM), were in my lymph nodes. That meant that my body was acting, as it should. To me that was not an adequate answer. If the “Man Made Materials” (MMM), were not Sarcoidosis but Lymphoma the fact that I had lymphoma would have gotten a much different reaction in my opinion. What do you think? Even the Cardiologist, who did my Mediasteinoscopy, discussed the question with me prior to my surgery, “Will removing my lymph nodes from behind my lungs and my heart cause Lymphoma to spread if this is in fact cancer?” His answer was that he would try to keep the lymph nodes in tack although that would be difficult, as they are not a hard in cased tissue as I had thought.

From what I understand of the immune system is that my system when I had the exposure to the metals worked properly by surrounding and encompassing the materials. My immune system was not made to engulf and digest metals and after a period of time the immune cells died and let go of the “Man Made Materials” (MMM), spilling them out into the system again. Also the report from my analysis reported scattered fine birefringent particulates. Could it be that the birefringent particles were sharp “Man Made Materials” (MMM), and cut their way out of the granulomas?

When I left the NJH running up more than 7,000 dollars what I had learned was that I had “The Chicken and the Egg” scenario, sleep apnea, and diagnosis with concentration problems.

But the one thing that I mostly went to NJH for was the environmental exposure issue. That was explained by using the analogy of “The Chicken or the Egg, which came first, was the bases of why I would still carry the diagnosis of Sarcoidosis an unknown cause disease.

One of the other ways that this may be looked at is that Beryllium disease at NJ is diagnosed based on a Beryllium lymphocyte test. I did have this test once here and one at NJH both times negative. My analysis did not include Beryllium. Could someone have a Beryllium exposure and disease resulting and yet be negative? So this question is not based on me but may be important regarding others.

So to relate this to the bacteria theory of “Rocky Mountain Spotted Fever” virus then according to the NJH would the person with Sarcoidosis have tested positive for “Rocky Mountain Spotted Fever, (RMSF)?

If a person with Sarcoidosis were to die and have an autopsy that showed bacterial DNA. The DNA for rickettsiae or “TUBERCULOSIS” within a Granuloma would the doctor’s say that the rickettsiae or “TUBERCULOSIS” caused the Granuloma if it were known that this person had had a rickettsiae or “TUBERCULOSIS” skin test that was negative? Would a person after an autopsy that showed “TUBERCULOSIS” within some Granuloma would the diagnosis of rickettsiae or “TUBERCULOSIS” or would the person be given the diagnosis of Sarcoidosis if not all of the Granulomas show rickettsiae or “TUBERCULOSIS”?

SS

 
 Re: What's inside my granulomas?
Author: Admin (---.vnnyca.adelphia.net)
Date:   07-02-02 11:13

Pages, The answer will be at the level of biochemistry, not at the cellular level. We have been fooling around at the cellular level for 50 years and have found nothing - we need to go deeper, into the chemistry of the processes. Stuff we can't see through a microscope. Stuff where we really have to use our brains to figure out what is happening.

There is a basic problem with describing Sarcoidosis at a cellular level. We have assumed that the inflammatory macrophages and granuloma are the manifestations of the disease, whereas it is actually the nasty hormones and chemokines and cytokines that are released by the inflammatory process that are ruining our brains and causing the neuropathy/ fatigue/ you-name-it.

Here's a dilemma: I have actually never even seen any real proof that Sarcoidosis is a hypersensitivity disease. The substances in your granuloma may not be "causing" your sarcoidosis at all.

It seems to me that our bodies could well be reacting the same as normals to the materials found in your granuloma, but that the inflammatory process that is supposed to neutralize those materials then gets out-of-control. It is this out-of-control inflammation that causes the symptoms, and it really may not be hypersensitivity at all, just a run-away inflammatory process.

In fact, the only thing with the biochemical 'power' to keep sarcoid inflammation alive is the lipopolysaccharide which is secreted by gram-negative bacteria. You can't see them, yet they are what are causing the problem. Forget about the 50% of your granuloma that obviously "had something in them" - concentrate on the 50% that have nothing in them, but are still granuloma. In fact, the invisible bacteria are causing all your problems..

You see, the unique thing about sarcoidosis is the formation of non-caseating granuloma. That means the granuloma do not have a "cheese-like" interior like the granuloma that are found in "normal" people. They are still epithelioid multi-nucleated giant cells, but apparently have a different internal chemistry from those of "normals". Why? That is the question that I am asking....

..Trevor..

 
 Re: What's inside my granulomas?
Author: pages2 (---.kc.rr.com)
Date:   07-02-02 13:45

Biochemistry, not at the cellular level,

Both levels of these areas require a since of imagination, intuitiveness, mostly study. ok lets look at the biochemistry and are we pleased to have a biochemist to help direct us.

So my question about nitric oxide that would be a biochemical question.

Let see if I can ask more biochemical questions.

Why do some sarc have more Killer cells and have necroses dying tissue when others have non necrosing granulomas?

Do some of the Man made substances trigger a enzyme or a histamine that makes a new chemical within the body.

Pharmaceutical comp are making new chemicals using a mixture of natural and synthetics.

When our bodies inhale synthetics they have to decide what how to handle these products. Could the results be new biochemical or a mutated reaction over time?

If some granulomas have PRC DNA show Rocky Mountain Spotted Fever and other granulomas have Man Made materials, TB or what is inside your granuloma; it make since that the biochemical reaction will be different.

Ok What you have pointed out to us is our ACE levels and the !,25 Hydroxy vitamin D levels; The articles that I entered today list the nitric oxide levels what other points are at the biochemical level?

The cytokines and lueko-----?

How many sarc have had these recorded? I have not had a test for CD4 or CD8. Really I am not sure how to even ask this question.

When BAL's are discussed it seems that some of these are measured.

Should there be a standard for testing these? Could we learn from these?
Is this still the cellular level? or Biochemical do these cross?

When synthetics cross into the body the body will not recognize fake stuff as self and would seem to set up a system for recognizing the foreign mater and disposing of the man made material. Does the body get tired of doing this all of the time? What does the body do when there is so many man made materials? What does the body do when there is exposure so much of the time?

When the cellular level is done the chemicals from the
Biochemical level react. The cure of sarcoidosis at the biochemical level this make since.

SS

 
 Re: What's inside my granulomas?
Author: Admin (---.vnnyca.adelphia.net)
Date:   07-02-02 14:00

Worrying about man-made substances is pointless. Arsenic is natural, but you don't want it in your body. Each substance must be treated as an individual entity.

You said "Why do some sarc have more Killer cells and have necroses dying tissue when others have non necrosing granulomas".

Is this true? I assume you mean macrophages when you talk about 'killer-cells". People without sarc can have diseases where lots and lots of macrophages are produced, but their body handles the inflammatory biochemistry a little differently. Necrosing granulomas are also a red-herring, in my opinion.

Yes, histamines are triggered, but as a sarc patient your problems cannot be described in such simple terms.

The biochemical reaction to RMSF or to Beryllium will not necessarily be different. The body makes the same chemicals (cytokines and chemokines) for the macrophages to use in order to gobble them up. There may be antibodies produced for the bacteria, and not for the Beryllium. However RMSF fools the body into producing a reduced antibody response. This is one reason it makes people so sick...

Forget about having CD4 or CD8 tests or NOS tests or whatever. You have had every test commonly used to diagnose sarc. You know you have sarcoidosis, which is an uncontrolled inflammatory response. Focus on how to minimize it.

..Trevor..

 
 Re: What's inside Your granulomas?
Author: pages2 (---.kc.rr.com)
Date:   07-06-02 18:45

http://womnhlth.home.mindspring.com/PSC/PATH.HTM

 
 Re: What's inside Your granulomas?
Author: Admin (---.vnnyca.adelphia.net)
Date:   07-06-02 19:12

Please folks, when you post a URL please give us at least one sentence of what we should look for at that site, and what relevance the URL has to sarcodosis.

..Trevor..

 
 Re: What's inside your granulomas?
Author: pages2 (---.kc.rr.com)
Date:   07-11-02 20:17

Dr. Epstein reported that in the beginning of the granuloma formation, lymphocytes and macrophages are present. Later, as the macrophages are unable to phagocytize the silicone particles, giant cells are formed and plasma cells and eosinophils begin to appear.

. This article may also be interesting to those who have had breast implants.

For example, pathology reports received by a manufacturer, McGhan Medical, describe a silicone granuloma, partially necrotic granulation tissue which was heavily infiltrated by polymorphonuclear leukocytes, plasma cells and foreign body giant cells.(240) The pathological reaction to silicone from a breast implant is illustrated by the photographs on the following pages.


No I do not have silicone implants. The reason that this article is interesting to me is the silica within the granuloma and the necrotic tissue. Also was wondering if the plastics that IV bags are made from have any similarities to the mentioned materials?

 
 Re: What's inside your granulomas?
Author: Admin (---.vnnyca.adelphia.net)
Date:   07-11-02 20:37

Pages,
Recently our understanding of the differentiation (changing) of macrophages into epithelioid giant cells (granuloma) has changed a little.

Initially there are monocytes and lymphocytes created from the hematopoetic (blood) stem cells. Under the influence of 1,25 Dihydroxyvitamin D3 the monocytes differentiate (change) into macrophages. Still more 1,25 Dihydroxyvitamin D3 makes the macrophages change into the multi-nucleated giant cells typical of sarc granuloma. This can all occur in a pietre dish, without the presence of any silicone particles or any phagocytosis being present (a big words meaning that the macrophages are gobbling up the evil foreign material and dead tissue).

This opens up the possibility that the multiplication of granuloma in sarc may be biochemically driven, rather than being driven by a trigger of foreign material. This would be a radical shift in thinking about how sarc gets started. My latest research focuses on how such a biochemical pathway could exist in-vivo.

..trevor..

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Historical perspective on Sarcoidosis:


  1. The John's Hopkins Vasculitis Center: Prednisone Side Effects (incl. PHOTOS and PHOTOGRAPHS)
  2. Steroid-Treated patients Have higher risk of Cardiac problems
  3. "Evidence Growing That Inhaled Steroids, Like Steroid Pills, Can Cause Bone Loss"
  4. "Corticosteroids contribute to the prolongation of the disease by delaying resolution"
  5. "No data to suggest that corticosteroid therapy alters long-term disease progression"
  6. Cochrane Review - "Oral and Inhaled Corticosteroids have no discernible effect on lung function"
  7. Prednisone Improves Symptoms but not Lung Function in Sarcodiosis
  8. There is no conclusive evidence that corticosteroids affect the development of irreversible pulmonary damage
  9. Clinical Guideline For Treatment Of Arthritis Pain
  10. Angiotensin II receptor on BALF macrophages from Japanese patients with active sarcoidosis

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