sarcoidosis%20-%20pulmonary
SARCOIDOSIS - PULMONARY
Sarcoidosis is a multisystem disease which may present with non-specific symptoms or symptoms related to organ-specific involvement.
Non-specific symptoms include fever, malaise, fatigue and weight loss.
Pulmonary involvement is seen in >90% of sarcoidosis patients.

Sarcoidosis%20-%20pulmonary Signs and Symptoms

Introduction

  • A multisystem disease which may present w/ non-specific symptoms or symptoms related to organ-specific involvement

Signs and Symptoms

Non-specific Symptoms

  • Fever
  • Malaise, fatigue
  • Weight loss

Pulmonary Involvement

  • Pulmonary involvement is seen in >90% of sarcoidosis patients
  • Symptoms include:
    • Cough
    • Dyspnea
    • Chest pain or discomfort
  • Sarcoidosis commonly presents as an interstitial disease
  • One half of cases are detected incidentally by chest X-ray abnormality in asymptomatic patients
  • Initial pulmonary defects may either be restrictive or obstructive
  • Symptoms of sarcoidosis are usually already present for a month prior to diagnosis

Findings on Routine Chest X-Ray

  • 30-50% of patients are asymptomatic & are diagnosed by chest X-rays obtained for non-pulmonary indications
  • X-rays may show hilar adenopathy, infiltrates, or fibrosis

Related to Involvement of Other Organs

  • Palpable lymph nodes
  • Cardiac arrhythmias
  • Erythema nodosum, lupus pernio or other dermatologic manifestations
  • Uveitis
  • Cranial nerve palsies
  • Joint pains
  • Hypercalcemia & hypercalciuria
Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Respirology - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
06 Jul 2020
Routinely used for treating cardiovascular diseases, statins have been shown to benefit other conditions, and new evidence suggests that using the drug at high intensity reduces the risk of hip or knee replacement, an effect that may be specific to rheumatoid arthritis.
Jairia Dela Cruz, 06 Jul 2020
Following vegan and vegetarian diets, which offer plenty of what is good for health, has been reported to have a downside: an increased risk of depression and anxiety, especially for younger adults.
Pearl Toh, 29 Jun 2020
Having migraine during midlife appears to be associated with a higher risk of developing dementia in later life, according to a large population-based longitudinal Danish study presented at the AHS* 2020 Virtual Meeting, indicating that migraine may be a risk factor for dementia.
Roshini Claire Anthony, 5 days ago

Upadacitinib may be a suitable treatment for patients with active psoriatic arthritis (PsA) who have insufficient response to non-biologic disease-modifying anti-rheumatic drugs (non-bDMARDs), according to results of the phase III SELECT-PsA-1* trial presented at EULAR 2020.