The article deals with the summarizing of experience concerning the organization of work of physician-sarcoidologist in the counseling diagnostic polyclinic of Tomsk. The analysis of morbidity testifies the increase of pathology as compared with previous years more than twice. The higher rate of wrong diagnoses and treatment management in general medical network (44%) is established. Under additional examination the disorders of external breath function are detected in 33% and the extrapulmonary manifestations of sarcoidosis in 23%. The scheme of diagnostics and monitoring of patients is developed to effectively detect and control the disease.

In an open prospective study 25 patients with sarcoidosis of respiratory organs of both sexes (12 women and 13 men) were included, aged from 20 to 40 years. All patients were carried out clinical and Xray examination, as well as spiral computer tomography of the chest, echocardiography with tissue Doppler, daily ECG monitoring. Some patients (12%) received singlephoton emission computer tomography of myocardium. Clinical manifestations of myocardial lesions were found in 7 patients (28%). All the subjects didnt have any changes in the registration of an electrocardiogram (ECG). In carrying out daily monitoring of ECG changes were detected in 23 (92%) patients. The results showed that daily ECG monitoring should be included in the standard evaluation of patients with sarcoidosis of respiratory organs, regardless of the presence or absence of cardiac complaints.