{"id":5132,"date":"2025-05-05T14:56:17","date_gmt":"2025-05-05T17:56:17","guid":{"rendered":"https:\/\/sbrv.org\/paciente\/?post_type=doenca&#038;p=5132"},"modified":"2025-05-05T15:32:45","modified_gmt":"2025-05-05T18:32:45","slug":"sarcoidose","status":"publish","type":"doenca","link":"https:\/\/sbrv.org\/paciente\/doencas-retina\/sarcoidose\/","title":{"rendered":"Sarcoidose: O que \u00e9, Sintomas, Diagn\u00f3stico e Tratamentos | SBRV"},"content":{"rendered":"\n<p>\nA sarcoidose \u00e9 uma doen\u00e7a inflamat\u00f3ria multissist\u00eamica de causa desconhecida, caracterizada pela presen\u00e7a de granulomas n\u00e3o caseosos (ou seja, diferentes dos observados na tuberculose) em diversos \u00f3rg\u00e3os, incluindo os olhos. A manifesta\u00e7\u00e3o ocular posterior pode envolver a retina e coroide, provocando vasculite, edema macular e risco de atrofia retiniana<sup>1<\/sup>. Afeta mais frequentemente mulheres e indiv\u00edduos entre 20\u201340 anos. Al\u00e9m dos olhos, pode acometer pulm\u00f5es, pele e linfonodos.\n<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">CAUSAS E FATORES DE RISCO<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Etiologia desconhecida; possivelmente relacionada a uma resposta imune exagerada a ant\u00edgenos ambientais.<\/li>\n\n\n\n<li>Predisposi\u00e7\u00e3o gen\u00e9tica: HLA-B8, HLA-DRB1.<\/li>\n\n\n\n<li>Mais comum em afrodescendentes.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">SINTOMAS<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Vis\u00e3o emba\u00e7ada e manchas m\u00f3veis (floaters).<\/li>\n\n\n\n<li>Fotofobia e dor ocular leve em casos de uve\u00edte ativa.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">DIAGN\u00d3STICO<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Exame fundosc\u00f3pico:<\/strong> presen\u00e7a de granulomas brancos, exsudatos e sinais de vasculite.<\/li>\n\n\n\n<li><strong>Angiofluoresceinografia e ICG:<\/strong> demonstram \u00e1reas de isquemia e infiltrados coroidianos.<\/li>\n\n\n\n<li><strong>OCT (Tomografia de Coer\u00eancia \u00d3ptica):<\/strong> evidencia edema macular e granulomas sub-retinianos.<\/li>\n\n\n\n<li><strong>Exames sist\u00eamicos:<\/strong> radiografia e tomografia de t\u00f3rax, al\u00e9m de bi\u00f3psia de linfonodo para confirma\u00e7\u00e3o.<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\">TRATAMENTO<\/h2>\n\n\n\n<p>\nO tratamento da sarcoidose ocular visa controlar a inflama\u00e7\u00e3o intraocular e sist\u00eamica. O manejo envolve:\n<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Corticosteroides sist\u00eamicos<\/strong> como terapia de primeira linha.<\/li>\n\n\n\n<li><strong>Imunossupressores e agentes biol\u00f3gicos<\/strong> (como infliximabe<sup>2<\/sup>) para casos resistentes ou graves.<\/li>\n\n\n\n<li><strong>Tratamento local ocular:<\/strong> uso de col\u00edrios, inje\u00e7\u00f5es perioculares ou implantes intraoculares de corticoides.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">PROGN\u00d3STICO<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Boa resposta inicial ao tratamento, mas com risco de recidivas frequentes.<\/li>\n\n\n\n<li>Complica\u00e7\u00f5es poss\u00edveis: catarata induzida por esteroides, glaucoma secund\u00e1rio, e atrofia retiniana.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">PREVEN\u00c7\u00c3O E CUIDADOS<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Monitoramento sist\u00eamico com foco em fun\u00e7\u00e3o card\u00edaca e pulmonar.<\/li>\n\n\n\n<li>Acompanhamento oftalmol\u00f3gico peri\u00f3dico, com frequ\u00eancia definida pelo est\u00e1gio e gravidade da doen\u00e7a.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">PERGUNTAS FREQUENTES<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Sarcoidose ocular \u00e9 perigosa?<\/strong><br>\u2013 Pode comprometer a vis\u00e3o se n\u00e3o for tratada adequadamente.<\/li>\n\n\n\n<li><strong>Quanto tempo dura o tratamento?<\/strong><br>\u2013 Pode durar meses ou anos, variando conforme a resposta e recidivas.<\/li>\n\n\n\n<li><strong>\u00c9 heredit\u00e1ria?<\/strong><br>\u2013 A influ\u00eancia gen\u00e9tica existe, mas a transmiss\u00e3o direta \u00e9 incomum.<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\">REFER\u00caNCIAS BIBLIOGR\u00c1FICAS<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>James DG. Pathogenesis of sarcoidosis. <em>Lancet<\/em>. 1996;347(9003):781\u2013784.<\/li>\n\n\n\n<li>Nguyen QD, et al. Infliximab for ocular sarcoidosis. <em>Ophthalmology<\/em>. 2007;114(12):1637\u20131643.<\/li>\n<\/ol>\n","protected":false},"template":"","class_list":["post-5132","doenca","type-doenca","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Sarcoidose: O que \u00e9, Sintomas, Diagn\u00f3stico e Tratamentos | SBRV - SBRV - \u00c1rea do Paciente<\/title>\n<meta name=\"description\" content=\"Sarcoidose oft\u00e1lmica: saiba como a sarcoidose afeta a retina e op\u00e7\u00f5es de tratamento. 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