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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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TB Infection Of Lymph Nodes, Low Grade Fever, Sarcodoisis. Taking Wysolone. Suggestions To Treat Fever?

i was having TB which was treated for one year & is okay tuberculosis of lymphnodes . doctors say i m having sarcodoisis. i m frequently getting low grade which does not get treated by any antibiotics , they use wysolone course starttng with 40 mg & finishing with 5 mg once a week. but after 4 -6 months again get low grade fever 99 deg. can u suggest reason for this & treatment
Tue, 24 Sep 2013
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's  Response
tuberculosis and sarcoidosis are different. eventhough they both affect lungs. since you are on wysolone , probably ur getting treated for sarcoidosis. Corticosteroids are the mainstay of therapy.
Generally, prednisone given daily and then tapered over a 6-month course is adequate for pulmonary disease. Earlier recommendations suggested an initial dose of 1 mg/kg/d of prednisone; however, more recent expert opinions endorse a lower dose (eg, 40 mg/d), which is tapered to every-other-day long-term therapy over several weeks. Most patients who require long-term steroids can be treated using 10-15 mg of prednisone every other day. plz check ur liver function test once.
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TB Infection Of Lymph Nodes, Low Grade Fever, Sarcodoisis. Taking Wysolone. Suggestions To Treat Fever?

tuberculosis and sarcoidosis are different. eventhough they both affect lungs. since you are on wysolone , probably ur getting treated for sarcoidosis. Corticosteroids are the mainstay of therapy. Generally, prednisone given daily and then tapered over a 6-month course is adequate for pulmonary disease. Earlier recommendations suggested an initial dose of 1 mg/kg/d of prednisone; however, more recent expert opinions endorse a lower dose (eg, 40 mg/d), which is tapered to every-other-day long-term therapy over several weeks. Most patients who require long-term steroids can be treated using 10-15 mg of prednisone every other day. plz check ur liver function test once.