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Treatment

Sarcoidosis may heal spontaneously within a few years. For some patients its therefore sufficient to come a regular check-up without any treatment. Sometimes sarcoidosis needs treatment. It cannot be cured by medication, as the exact cause of the disease is yet unknown.

Medication
When  one or more of the organs cannot function properly or symptoms are persistent, the doctor can prescribe particular medicine. An example of first line treatment is prednison or other anti-inflammatory medication, side-effects. In addition, tapering medication can result in recurrence of symptoms or organ dysfunction. Therefore, the pros and cons of initiating treatment should be assessed properly and on an individual basis.
When sarcoidosis affects the heart, central nervous system, the eyes or when serious organ failure is found, treatment needs to be prescribed  immediately.

Alternative medication
Alternative medication are  so called steroid sparing agents  such as Methotrexaat or Azathioprine. Mycophenolaten or Ciclosporine could be effective during inflammation of the eyes. For the skin, Thalidomide is prescribed as well as Plaquenil.
 
TNFα -inhibitors
There are multiple TNFα -inhibitors (anti- Tumor Necrose Factor-alpha) available, which could be beneficiary to patients with sarcoidosis. These are also referred to as biologicals.  TNFα- inhibitors have an inhibitory effect on the body's protein TNF. This "messenger-protein" plays an important role during the inflammation that occurs in sarcoidosis. The optimal treatment duration and dosage of TNFαinhibitors  differs per patient. . Currently, research on TNF-alpha inhibitors is done in our center.

openen Sarcoidose centrum
In 2012 the Dutch king, at the time prince, Willem Alexander officially opened the Sarcoidosis Center