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Lung India Official publication of Indian Chest Society  
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Year : 1999  |  Volume : 17  |  Issue : 4  |  Page : 107-111

Diagnostic Delay And Difficulties In Sarcoidosis In Eastern India

Correspondence Address:
Samir K Gupta

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Source of Support: None, Conflict of Interest: None

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The reasons for delay in diagnosis have been analysed in a series of 190 biopsy-proven sarcoidosis in one centre in Calcutta during the past 25 years. Overwhelming presence of tuberculosis in our country was mostly the reason for the misdiagnosis and delay. Some factors, responsible for late diagnosis were, however, peculiar to our country like frequent change of attending doctors, mistrust for an unusual diagnosis, reluctance or refusal to have proper and unusual investigations (in spite of being offered free to most), fear of invasive procedures etc. These were all patient-dependent factors. However, inexperience of physicians, misdiagnosis as tuberculosis, continuation of tuberculosis treatment even without response, misreporting of chest radiographs as tuberculosis, lymphoma or other diseases, wrong interpretation of biopsies, and use of steroid before diagnosis etc. were all physician - dependent delaying factors.

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