Gibson et al reported a combined clinical score for monitoring a patient with pulmonary sarcoidosis. The authors are from the Sarcoidosis Subcommittee of the Research Committee of the British Thoracic Society.
Parameters:
(1) change in vital capacity (as a measure of pulmonary function)
(2) breathlessness
(3) F type (fibrotic) shadowing on the chest X-ray
change in vital capacity =
= (current vital capacity) – (previous vital capacity)
Parameter |
Finding |
Points |
change in vital capacity |
increased > 0.2 liters |
1 |
|
decreased > 0.2 liters |
-1 |
|
other |
0 |
breathlessness |
less (improved) |
1 |
|
unchanged |
0 |
|
more (deteriorated) |
-1 |
chest X-ray |
increased F shadowing |
-1 |
|
other |
0 |
total score =
= SUM(points for all 3 parameters)
Interpretation:
• minimum score: -3
• maximum score: 2
• The higher the score the better the clinical status of the patient.
Specialty: Pulmonology, Immunology/Rheumatology