Diagnosis - Sarcoidosis

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Information ⬇

Made on basis of clinical, radiographic, and histologic findings. Biopsy of lung or other affected organs is helpful in supporting the diagnosis and ruling out other diseases. Pulmonary involvement can be approached by bronchoscopy with transbronchial lung biopsy. Differential diagnosis includes neoplasms, infections including HIV, and other granulomatous processes.

Treatment: Sarcoidosis

As sarcoidosis may remit spontaneously, treatment is based largely on the level of symptoms and extent of organ involvement (Figs. 166-1 and 166-2). When systemic therapy is indicated, glucocorticoids are the mainstay of therapy. Other immunomodulatory agents have been used in refractory or severe cases or when prednisone cannot be tapered.