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Sarcoidosis, Emergency Medicine

Reviewed 06/2017
 


Basics

Description

  • Chronic, multisystem disorder characterized by local accumulation of T lymphocytes and mononuclearphagocytes forming noncaseating epithelioid granulomas

  • Symptoms mainly due to organ d...

Diagnosis

Signs and Symptoms

History

  • Constitutional:

    • Fatigue, general weakness

    • Fever

  • Skin (25% patients):

    • Rash, lesions

  • Cardiac/respiratory (most patients):

    • Dyspnea

    • Chest pain

    • Palpitations

    • Cough

    • Hemoptysis

  • Neurolo...

Treatment

Pre-Hospital

Provide supplemental oxygen. 

Initial Stabilization/Therapy

  • Provide supplemental oxygen.

  • Monitor for dysrhythmias.

Ed Treatment/Procedures

  • Patients should be observed without therapy,...

Follow-Up

Disposition

Admission Criteria

  • Hypoxia

  • Patients with moderate to severe respiratory symptoms

  • Significant cardiac conduction delays

  • Severe thrombocytopenia

Discharge Criteria

Follow-up is establishe...

Pearls and Pitfalls

  • Evaluate patients with chest radiographs to determine stage and progression of disease.

  • Prednisone is treatment of choice for exacerbations of disease.

  • Monitor for signs of hypercalc...

Additional Reading

  • Baughman  RP. Pulmonary sarcoidosis. Clin Chest Med.  2004;25:521–530.

  • Fauci  AS, Braunwald  E, Kasper  DL, et al. Harrison's principles of internal medicine. 17th ed. New York...

Codes

ICD9

  • 135 Sarcoidosis

  • 517.8 Lung involvement in other diseases classified elsewhere

ICD10

  • D86.0 Sarcoidosis of lung

  • D86.3 Sarcoidosis of skin

  • D86.9 Sarcoidosis, unspecified

  • D86.85 Sarcoid myocarditis

  • D86...

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