Comment & Response |

Comparison of Methods to Diagnose Sarcoidosis—Reply

Jouke T. Annema, MD, PhD1
[+] Author Affiliations
1Department of Pulmonology, University of Amsterdam Academic Medical Center, Amsterdam, the Netherlands
JAMA. 2013;310(15):1625-1626. doi:10.1001/jama.2013.277322.
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In Reply Drs Madan and Guleria question the study design of the trial and ask why conventional TBNA was not included. In designing the GRANULOMA trial, we chose to compare endosonography (EBUS-guided TBNA) with the existing standard biopsy technique. The statement on sarcoidosis from the American Thoracic Society, European Respiratory Society, and the World Association for Sarcoidosis and Other Granulomatous Disorders recommends performing TBLB, not conventional TBNA, when tissue sampling is indicated.1


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October 16, 2013
Karan Madan, MD, DM, FCCP; Randeep Guleria, MD, DM
1Department of Pulmonary Medicine and Sleep Disorders, All India Institute of Medical Sciences, New Delhi, India
JAMA. 2013;310(15):1624. doi:10.1001/jama.2013.277314.
October 16, 2013
Marjolein Drent, MD, PhD; Robert P. Baughman, MD
1Department of Toxicology, University Maastricht, Maastricht, the Netherlands
2Department of Medicine, University of Cincinnati Medical Center, Cincinnati, Ohio
JAMA. 2013;310(15):1624-1625. doi:10.1001/jama.2013.277317.
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