Abstract
Sarcoidosis is a chronic inflammatory multisystem disease of unknown aetiology. IFN-alfa is an immunomodulatory cytokine, currently used with ribavirin in the treatment of chronic hepatitis C infection. Due to its effects on the immune system, IFN-? may lead to the induction or exacerbation of autoimmune diseases, such as systemic lupus erythematosus, rheumatoid arthritis and sarcoidosis. We report on a 37-year-old man, presenting with sarcoidosis during a six-month course of PEG-IFN alfa-2a and ribavirin for chronic hepatitis C virus genotype 3 infection.
MeSH terms
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Adult
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Antiviral Agents / administration & dosage
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Antiviral Agents / adverse effects*
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Drug Therapy, Combination
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Glucocorticoids / therapeutic use
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Hepatitis C, Chronic / drug therapy*
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Humans
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Interferon-alpha / administration & dosage
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Interferon-alpha / adverse effects*
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Interferon-alpha / immunology*
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Male
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Polyethylene Glycols / administration & dosage
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Polyethylene Glycols / adverse effects*
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Prednisone / therapeutic use
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Recombinant Proteins / administration & dosage
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Recombinant Proteins / adverse effects
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Recombinant Proteins / immunology
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Ribavirin / administration & dosage
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Ribavirin / adverse effects*
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Sarcoidosis / chemically induced
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Sarcoidosis / diagnosis
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Sarcoidosis / drug therapy
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Sarcoidosis / immunology*
Substances
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Antiviral Agents
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Glucocorticoids
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Interferon-alpha
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Recombinant Proteins
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Polyethylene Glycols
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Ribavirin
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peginterferon alfa-2a
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Prednisone