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 The material here provides useful background, but much of it is now out-of-date.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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 Trevor's new paper ...
Author: Cher (144.138.225.---)
Date:   07-15-02 00:02

Hi Everyone,
Thanks Trevor & Liz for the new paper. I took it straight to my Doctor this morning & he has taken your advice immediately & put me straight on the AVAPRO. I have to return daily to have my BP taken to make sure it is not getting to low but if the AVAPRO works I would go three times a day - lol.

The paper is brilliant & makes so much sense. Thanks Trevor & Liz for all your hard work & effort it took to get the paper published. I know that I for one am extremely grateful for all the work u put into your research knowing that it is going to help so many of us.
Thankyou Thankyou Thankyou
Cheers
Cher ...

 
 Re: Trevor's new paper ...
Author: Admin (---.vnnyca.adelphia.net)
Date:   07-15-02 05:56

Cher,
Yes, with all the tribulations you have been through, I am sure you can manage something simple like low blood pressure

Keep the dose up, as you can see from the graph it is necessary to get a nearly total blockade of the A-II activity. Lower doses (partial blockade) will give you all sorts of wierd effects, even psychedelic dreams!

While prednisone shuts down the immune system by disabling NF-kappaB the ARBs merely stop the extra stimulation of NF-kappaB by the Angiotensin II. So even when you have control of the A-II you still have to be careful with your body. ARB control increases the threshold a little, and makes it easier to live a somewhat normal existence. I hope it works OK for you.
Keep smiling,
Trevor

 
 Re: Trevor's new paper ...
Author: pages2 (---.kc.rr.com)
Date:   07-15-02 08:43

Cher,

Many drug stores such as Osco sell Blood Pressure machcines. You place the cuff on your arm, push a button and the digital reading is displayed along with you pulse. These BP machcines cost 50-70 dollars so that you could monitor your own BP at home.

SS

 
 Re: Trevor's new paper ...
Author: Cher (144.138.225.---)
Date:   07-15-02 09:16

Thanx for that info about the blood pressure machine. I will seriously consider it but at the moment it is no problem for me to go to my G.P as he is only around the corner from my home. I suppose for the days when my joints r stiff & sore & I can't get out of bed it would definitely be handy but I am hoping the new drug will stop those symptoms & therefore it won't happen lol. I have always had very good blood pressure & have only once had a problem with low blood pressure due to something probably caused by Sarc. It was a one off & went so far down I was taken to hospital in an ambulance, lights & sirens etc, but thanks again I will look into the possiblitliy of gettting my own machine.
Cheers Cher

 
 Re: Trevor's new paper ...
Author: Caroline (---.win.org)
Date:   07-15-02 09:23

Hello Trevor, I would love to be able to read and take your paper to my doctor, also. I go have a dobutamine heart echo this wednesday and see my doc for follow up the next week. Are you able to email it? thank you so much. caroline

 
 Re: Trevor's new paper ...
Author: Admin (---.vnnyca.adelphia.net)
Date:   07-15-02 09:27

Caroline,
You have never left an email address for a copy to be sent to

Drop me an email by clicking on the "Trevor" at the very bottom of this page and I will send you a copy.

..Trevor..

 
 Re: Trevor's new paper ...
Author: Nancy Cole (---.public.svc.webtv.net)
Date:   07-16-02 07:29

Trevor
Thank you for "The Paper". I am very excited about it for all of us, and feel that I understand it enough to talk to my doctor about it. I will let you know what happens. He is really going to be surprised when I bambard him with all this information you have given me. I have a lot of things that need to be taken care of, including the tests for the new options you told me about, for preventing the progression of my diabetes. You are right, knowledge is power. Thank you.
Nancy

Nancy Cole

 
 Re: Trevor's new paper ...
Author: Doreen (---.proxy.aol.com)
Date:   07-16-02 08:17

Thanks for the paper Trevor. It's great!!!!!!!! I'll bring it to my doctor when I go for followup on the 25th!!!!!!!!!

D

 
 Re: Trevor's new paper ...
Author: judy (216.94.13.---)
Date:   07-16-02 12:53

Hello all,

I also have the paper along with many others obained through this forum to take to my dr tomorrow. I also got a copy of "An aproach to the Treatment of Pulmonary Sarcoidosis with Corticosteriods" (Judson, 1999). After reading it, it confirmed the fact that I should never have been put on Prednisone to begin with. I am "Stage 2" and think I should be monitored but not treated. It is good article for anyone inerested. Maybe we can wake Canada up a little too!

I have a question on sinuses. I have read about sinus problems but don't know what kind of sinus problems people are having. I alway seem to have a runny nose and crackling in my ears. I figured it was some unknown allergy but is it possible it has something to do with the Sarcoidosis?

Thanks
Judy

 
 Re: Trevor's new paper ...
Author: Belinda (---.dsl.rcsntx.swbell.net)
Date:   07-16-02 14:22

Judy,

Here are some articles which indicate sinus problems can be related to sarcoidosis. Each article discusses some of the symptoms related to sinonasal sarcoidosis.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=9280420&dopt=Abstract

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=10922150&dopt=Abstract

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12045743&dopt=Abstract

Take good care of yourself,

Belinda

 
 Re: Trevor's new paper ...
Author: Rae (24.68.184.---)
Date:   07-17-02 12:14

Hi Trevor.
How do I access your new paper. I would love to take a copy to my Doctor..I have an appointment tommorow. I am about to start prednisone again. I have had a relapse and have been on oxygen for the past 3 weeks My Sats are low at rest and drop to 80 on exertion. Tests yesterday confirmed the return of the lung envolvement. There were four Drs standing around me talking about Tx. and when I said no to the prednisone they were surprised. But I want to get off the oxygen and prevent further fibrosis especially when my heart is involved. I don't know what to do.
My GP followed your advice and ran the blood tests you suggested I don't think I will be able to get the results yet as the tech said she had to sent them to a lab in the States. Would really like to read your paper and take it with me tomorrow. Thanks for all the advice you give Trevor, you are extremely knowlegable. I am so glad I found this site. Rae

 
 Re: Trevor's new paper ...
Author: Admin (---.vnnyca.adelphia.net)
Date:   07-17-02 12:39

I sent you a copy, Rae.
Hopefully he will have the 1,25 Dihydroxyvitamin D3 value, because that will allow him to rule out or finger any potential calcification problems.

Ultimately, however, you need to follow the advice of your doctors Rae. It sounds as though they are open to new ideas and that's all you can ask for.

..Trevor..

 
 Re: Trevor's new paper ...
Author: Caroline McGuirl (---.proxy.aol.com)
Date:   07-18-02 13:41

Dear Trevor:
I want to state first; that today as I was trying to log onto this site, I had a scare.....the page said that "site was not responding".....how terrible it made me feel. I do hope this site does not disappear!!!!!
Second, I handed in the paper Trevor to my physician personally as I drove by her office yesterday. I didn't want to wait and send it in the mail.
I am anxious to hear her comments and to see if my next blood work will also include the tests in your text.
I tried the P.T. and the first day it was history-taking-day. The Physical Therapist had go go through the motions of moving arms and legs and head twisting etc. He thought a few trips to the pool first, but I wear a pain patch and I have variouses rashes that just break out and may not be '"catching" but don't look nice to the eye.
I will try again one more day...but I came home after this short period of P.T. and I ached more than I did before. This could be due to not using and straining muscles....?
I wonder if you could tell me what this might be:? When I wake up I do ache everywhere in the body but I feel tremendously "weak". As though I could sleep while walking? (blood sugar was okay 2 wks ago on test. ) Caroline McG
Caroline McG.

 
 Re: Trevor's new paper ...
Author: Admin (---.vnnyca.adelphia.net)
Date:   07-18-02 13:54

Caroline,
I have no competence to make any comments on the PT, sorry. But I note that your doctor was unable to tell you what she was trying to accomplish, and I would have thought that she should have known....

Belinda sent me some new literature references today that seem to implicate the 1,25 hormone in some arthritic events, so I am waiting eagerly to see the 1,25 Dihydroxyvitamin D3 value from your bloodwork. Together with the 25 Hydroxyvitamin D3 and your serum Calcium it should help us figure out what is going on.

Meanwhile, Keep smiling, you'll work through it,
..Trevor..

 
 Re: Trevor's new paper ...
Author: Admin (---.vnnyca.adelphia.net)
Date:   07-18-02 13:59

Caroline, parts of the Internet have been having trouble getting through today. Apparently 'my part' is also having outages. Too many Telecom companies going bust, I guess.

Don't worry about this site. Even if I lose the current ISP feed the software runs on my own Linux server and cannot be put off the air permanently...

..Trevor..

 
 Re: Trevor's new paper ...
Author: Caroline McGuirl (---.proxy.aol.com)
Date:   07-19-02 10:03

Trevor:
Good to hear that we won't lose you or the site. I was worried until I logged on today. It has helped me so much as I am sure it has others.
How would I go about giving the site name to my friend in the UK? I tried several times to type out the name: Phorum- Sarcoidosis Info Forum.
It didn't work for him to get through.
Caroline Mcg.

 
 Re: Trevor's new paper ...
Author: Caroline McGuirl (---.proxy.aol.com)
Date:   07-19-02 10:12

Dear Trevor:
I do hope my physician will include the tests in the blood work she will be ordering at the end of this month.
I have to go to her office each time for a new prescription for the Pain Patch and then this time I will be repeating the blood work also.
I had to nix the idea of the pool for P.T. as I have many other problems that prevent me from going into the pool. I ached from the P.T. visit I had last week and I will try one more visit next week and ask the P.T. what he hopes to accomplish for me?
I fell last evening....doing some housework...seems when I bend over a bit....sometimes I just keep bending and fall all the way. I bruised my leg and back as I stretched out my back muscles. Nothing broken...lucky me.
Do others find these sensations??? weakness? dropping things? I wonder how many symptoms we all share?
I will be keeping in touch....
Caroline Mcg.

 
 Re: Trevor's new paper ...
Author: Admin (---.vnnyca.adelphia.net)
Date:   07-19-02 10:14

Tell your friend to go to:

www.SarcInfo.com

..Trevor..

 
 Re: Trevor's new paper ...
Author: Caroline (---.win.ORG)
Date:   07-19-02 20:49

Hi Caroline Mc,

i too lose my balance and fall. sometimes leaning over and also leaning back, like rinsing shampoo from your hair. i can also be just standing at the sink and turn my head and induce the same feeling. i have to hang on to what i am next to or i will fall.

i drop things frequently. i hate to have to pick them up, especially if i have to get on my hands and knees. if on all fours i need to crawl to someplace where i can push myself up with my arms as well as my very weak legs.

i think sometime we need a topic entitled 'my symptoms'. it is my feeling that we all share many similarities.

Caroline

 
 Re: Trevor's new paper ...
Author: Cher (144.139.192.---)
Date:   07-21-02 05:27

Hi Carolines' & everyone,
Yeah you are both right. These are symptoms that must be fairly common because I am another that shares them with you. I just mentioned in another link that I use plastic plates & take acrylic glassware with me if I go to someones house for drinks, BBQ's etc. I have fallen over more often than I stand up some days lol. It used to really worry me (I thought my brain was dying or something) but now after reading so many of Trevors' links, papers etc & hearing that others have the same problems I don't worry anywhere near as much.
Cheers everyone & stay positive
Cher

 
 Re: Trevor's new paper ...
Author: Caroline (---.win.ORG)
Date:   07-22-02 08:17

Cher, Please keep us updated on your progress with Avapro. Caroline

 
 Re: Trevor's new paper ...
Author: Caroline (---.win.org)
Date:   07-22-02 20:02

Hi Trevor and Everyone,
I went to my pulmonologist today to receive the results of my dobutamine stress echo taking with me, your paper Trevor.

As far as my heart, the lower right chamber is not pumping as it should. This became worse as my heart rate was increased. My pulmo is sending me to a cardiologist this Thursday -- hopefully it will be decided if I have cardiac sarc. or another problem. She mentioned the cardiologist might want to do a cath.

She is also going to repeat a broncoscopy done by a different doc a year ago. A culture from that bronc. grew giotrichum (a fungus).

Lastly, I am really happy! My blood draw for tomorrow will include 1,25 Dihydroxyvitamin D3 and 25 Hydroxyvitamin D3 along with others. I took the copy of bloodwork orders back to her along with your paper Trevor. She then added the D3 tests! I have taken three doses of MTX. I hope it won't ruin my bloodtests.

I will make sure to get copies of the results so I can pass on the data and values. Right now she is not changing anything in my treatment until I am seen by the cardiologist to determine my heart condition.

Trevor, thank you for your paper and thank you for all you do. I wish I could see you speak.

Caroline

 
 Re: Trevor's new paper ...
Author: Admin (---.vnnyca.adelphia.net)
Date:   07-22-02 20:40

Caroline,
Thats great news. Its so important to have a doctor who listens to their patients. So many just assume that they know "where it hurts" And they actually have no idea!

You have the opportunity to be a pioneer (you know, the people with the arrows in their backs ) as I have been unable to find any data on whether MTX affects 1,25 Dihydroxyvitamin D3

There are many, many, ways that sarc can affect the heart without it being 'cardiac sarc'. There can be calcium deposits, fibrosis, scarring of the tissue, loss of muscle control, and lots of other reversible ways that the heart can be affected. So don't panic just yet...

I can't believe that she noticed a culture that was positive! That is great news too. Maybe when you get rid of that annoyance some of the inflammation may settle down. Who knows? When you look at the lab results reporting the culture they will list which antibiotics it was susceptible to and resistant to.

Keep Smiling,
Trevor

 
 Re: Trevor's new paper ...
Author: Becky (---.tampabay.rr.com)
Date:   07-30-02 06:19

Hi Trevor,
I would very much like to get a copy of your paper also. The latest with me is increased upper left sided abdominal discomfort that goes straight through to my back. For the past several days the ball of my left foot where it connects to my toes has been hurting pretty bad. Sounds like it would not be such a big deal but it is. Two weeks ago I began having difficulty with voiding (lasted about 5 hours) and a urinalysis showed no bacteria but 567 RBC's. My calcium level was 9.5 which was in normal range. Not sure what's going on but I know that I feel pretty bad all over.

Thanks again for helping so many of us.
Becky

 
 Re: Trevor's new paper ...
Author: Miguel (193.116.20.---)
Date:   08-09-02 09:51

Hello Trevor,
I would like to receive a copy of your paper to be prepare in case my case becomes worse and also because I was being seen by a very good pulmonologist but I don't know who I'm going to be seeing next time so I would like to be more informed about what sort of tests I should demand. The problem is that I live in London (UK) and tests and things take a long time through the NHS. Do you know of any good specialist with great knowledge in sarcoidosis here in the UK?
Thanks Trevor once more for your hard work and for all your help..
Cheers!
MIGUEL

 
 Re: Trevor's new paper ...
Author: Admin (---.vnnyca.adelphia.net)
Date:   08-09-02 10:12

Miguel,
There are several good specialists in the UK. Unfortunately, they are no more forward-thinking than pulmonologists in the rest of the world. You will need to continue to research this disorder yourself, and print the most relevant information to discuss with your Physician. Often the most receptive, open minded, physicians are the youngest (the interns) rather than the 'experienced' specialists. It must get very dispiriting for a specialist who tries to treat this disease and fails. I think this is why so many of them are not receptive to new knowledge. I am not really sure...

..Trevor..

 
 Re: Trevor's new paper ...
Author: Caroline McGuirl (---.proxy.aol.com)
Date:   08-12-02 14:54

Hi Caroline:
I agree with you about the similarities in our symptoms with Sarcoidosis. Does anyone know of a book written by a patient with Sarcoidosis?
I was hoping that Trevor, for one, would write a book.
I wouldn't say "misery loves company"....but it helps if you know that someone else has the same problems and symptoms that you do. Don't you agree?
I was reading this past Sunday, about Stem Cell research being done at Roger Williams Hospital in Providence, R.I. I live in R.I. The doctor in charge is saying that many autoimmune diseases also will benefit from this research. We can always hope!
Caroline McG.

 
 Re: Trevor's new paper ...
Author: Admin (---.vnnyca.adelphia.net)
Date:   08-12-02 15:03

Caroline McG,
The problems with books by patients is that they tend to be parroting the (incorrect) information that they themselves have been given by medical staff over the years.

First person discussion is the best way. SarcInfo.com Rules!

The Hematopoetic stem cell research (that's the blood stem cells and how the stem cells form different types of new blood cells) was the first link in the chain of clues that allowed me to unravel the mysteries of sarcodosis.

So stem cell research has already paid its dividend

..Trevor..

 
 Re: Trevor's new paper ...
Author: Caroline McGuirl (---.proxy.aol.com)
Date:   08-17-02 16:50

Dear Trevor:
I know you are right....first person is best. I am asking my daughter and son log on to this site to help understand as only you can explain the disease Sarcoidosis.
And.......then think of all the people not online who also have Sarcoidosis. In that way, I feel lucky to be able to open the site and read.
I have your manuscript....and there is a telephone number listed on front page....is this the number we can call on?
Thanks....
Caroline McG.

 
 Re: Trevor's new paper ...
Author: Admin (---.vnnyca.adelphia.net)
Date:   08-17-02 21:49

Yes

..Trevor..

 
 Re: Trevor's new paper ...
Author: Donna Brown (---.midtn.chartertn.net)
Date:   10-03-02 22:21

Trevor, i have skin sarc. . i would love to get a copy of your paper. I'm not informed enough to make sure i am getting the right tests, i'm sure my Dr. knows very little about sarcoidosis, hes the only 1 i can find in town tho who will even order any tests besides a lung X-Ray. I have not been told to stay out of the sun, just found that out by reading here. I got a terrible sunburn last year from tubing down the river in texas on vacation. I was sick for almost 2 weeks and had terrible headaches which until latley i have never been bothered with. I think now i may have had sun poisoning too.
I feel weak, my feet hurt very badly when i get out of bed in the morning or after sitting for awhile. I have aches and pains all over and dry mouth, dry eyes, sinus problems,always so tired, sleep alot. Cough some and choke easy and have difficulty swallowing sometimes. I had trouble even talking the other day, couldn't form words or put thoughts together. went to the dR. and he just ignored that part, said i had a fever and a mild urinary infection. I think possibly sarcoidosis has caused that also. I know this is not a thing to talk about but now i sometimes cant hold my urine until I get to the bathroom. Never had any kind of problem with that before. I do find that lots of times my dr just sort of ignores what he don't know about and trys to find a reason to give me an antibiotic and send me on my way. Most times i don't even take it... I did try to take the antibiotic for the uninary inf. but the pills were so big they choked me. My arm is sore on the inside too all the way from my shoulder to my wrist. I'm wondering if that could be lymph glands? I know i seem to be rambling on here but I have absolutly no 1 to talk to about this. My family doesn't know anything about it and thinks i should act normally and be like well. I do like my Dr. and I feel like if I take him a paper to educate him he will try to do better. I NEED to be educated too. I have those terrible sweats too, my clothes will be soaked. My memory is awful and i have a hard time thinking and trying to figure stuff out. I feel retarded but i know I have been to college and was pretty smart at 1 time. I just feel like giving up a lot of the time. Please don't publish this paper just send me a copy of your paper and if you want a personal reply. Thank you Donna

 
 Re: Trevor's new paper ...
Author: sharlene von berg (---.saix.net)
Date:   11-08-02 11:09

Dear Trevor

Many thanks for this wonderful site, what a pity the doctors I see would not even consider the things you say about sarcoid.

Please let me have a copy of this paper you talk about and also tell me about this blood test to do with vitamin D. Do you think it is available here in south africa ?

I need help because i feel that i have lost my mind.

Many thanks
Sharlene

 
 Re: Trevor's new paper ...
Author: Kathy (65.121.96.---)
Date:   11-08-02 11:40

Caroline - I experience the neuro symptoms also - my hands are somewhat shaky, and I fumble things a lot - I am always knocking things over - which gets much worse when I feel badly. I tend to lean to the left, and lose my balance. There are times when I have trouble keeping a train of thought, and can no longer do multiple activities at once.

I also tend to have problems with numbers - I find I write down completely inappropriate numbers on messages and when adding numbers.

Very easily confused!

Kathy

 
 Re: Trevor's new paper ...
Author: Admin (---.vnnyca.adelphia.net)
Date:   11-08-02 11:46

Kathy,
When you get your 1,25-D under control those symptoms will disappear. Minocin and Vit D elimination should do that. ARBs will help, but you will need a very helpful doctor to implement an ARB therapy.

..Trevor..

 
 Re: Trevor's new paper ...
Author: Linda (---.nsw.bigpond.net.au)
Date:   11-09-02 16:07

Could I please get a copy of your new paper to the email address above

Thankyou

Linda

 
 Re: Trevor's new paper ...
Author: itiona (---.client.comcast.net)
Date:   05-30-04 21:44

Trevor can I please have a copy of your new paper sent to the email address above. Thank you in advance

Dx sarc 5/04, Mp 7/04, currently on 5th month of stage 3 of mp,1,25 D=31.6, 25 hydroxy=10.4 wbc=3.8(low) sed rate=3

 
 Re: Trevor's new paper ...
Author: Admin (---.vnnyca.adelphia.net)
Date:   05-30-04 22:01

Itiona,

We have written many papers recently. Most of them are listed at the top right of this page under "Papers for Physicians". In one case you have to pay the publisher, Elsevier, to get a copy. Let me know which specific one you need and we will try and get you a copy.

..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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