Health + Wellness

Black History of Health: Bernie Mac


Bernie Mac

Bernie Mac, comedian, writer, actor, and the world’s favorite uncle died in 2008 from pneumonia. Diagnosed with sarcoidosis or sarcoid in his 20s, he managed the condition through medication.

He was even in remission at the time of his death but it was said, however, that the pneumonia was due to immune system suppression caused by the same prescribed medicines for his sarcoid disease.

The mysterious illness is often misdiagnosed and much like the exact cause of Bernie’s death, it’s misunderstood. So, just what is sarcoid, who’s susceptible to it, and how can it be treated? 

RELATED: Remembering Bernie Mac: “I Ain’t Scared Of You!”

What is sarcoidosis?

According to the Foundation for Sarcoidosis Research (FSR), sarcoidosis, also known as sarcoid, is an unusual inflammatory disorder of unknown cause.

The inflammation it causes is also unusual in that it results in small nodules, called granulomas, which can join together to become larger nodules, and which can be present in a wide variety of organs, most typically the lungs. The nodules can interfere with normal organ function.

The process that forms these nodules is called granulomatous inflammation, and it is also seen in the infectious illness tuberculosis. However, it is unclear whether the microorganism responsible for TB, which is a mycobacterium, has any causative role in sarcoid.

In fact, while there are many theories and much research, the exact cause of sarcoid is still unknown.

RELATED: Bernie Mac: “I’m Gonna Be A Comedian, So You Never Have To Cry Again”

Who’s susceptible to sarcoidosis?

The FSR reports that sarcoid typically strikes people between the ages of 20 and 40. It can affect either sex but it is 3-4 times more common, and often more severe, in Black people than it is in whites.

The lifetime risk of developing sarcoidosis in Black Americans in the United States is estimated at 2.4 percent while in whites it is 0.85 percent. In a small number of cases, more than one family member is affected. Interestingly, in about half the cases, the disease is noticed on a routine chest X-ray done for another reason, before any symptoms are present.

But since sarcoidosis typically affects the lungs (in at least 90 percent of cases), when symptoms do occur they are usually

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