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Sarcoidosis

Donnah Mathews, FACP, MD Reviewed 06/2022
 


BASICS

DESCRIPTION

  • Sarcoidosis is a noninfectious, multisystem, granulomatous disease of unknown cause, affecting young and middle-aged adults.

    • Frequently presents with bilateral hilar adenopathy, pulmo...

DIAGNOSIS

A comprehensive exam should be done in all patients with suspected sarcoidosis. 

HISTORY

  • Patients may be asymptomatic.

  • Patients may have nonspecific complaints, such as the following:

    • Nonproduct...

TREATMENT

  • Many patients undergo spontaneous remission.

  • No treatment may be necessary in asymptomatic individuals, but treatment may be required for cardiac, CNS, renal, or ocular involvement.

  • No treatme...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

There is limited data on indications for the specific tests and optimal frequency of monitoring of disease activity. Suggestions follow. 

Patient Monitoring

  • Patient...

REFERENCES

1
Iannuzzi  MC, Rybicki  BA, Teirstein  AS. Sarcoidosis. N Engl J Med.  2007;357(21):2153–2165. [View Abstract on OvidMedline]
2
...

CODES

ICD10

  • D86.89 Sarcoidosis of other sites

  • D86.81 Sarcoid meningitis

  • D86.2 Sarcoidosis of lung with sarcoidosis of lymph nodes

  • D86.8 Sarcoidosis of other sites

  • D86.87 Sarcoid myositis

  • D86.0 Sarcoidosis o...

CLINICAL PEARLS

  • Sarcoidosis is a noninfectious, multisystem, granulomatous disease of unknown cause, typically affecting young and middle-aged adults.

  • Diagnosis is based on clinical findings, exclusion...

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