The Curbsiders Internal Medicine Podcast #256 Sarcoidosis
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Feb 15, 2021 Sarcoidosis can hide in the lungs or show up almost anywhere, making diagnosis a detective story. Pulmonary and critical care specialists explore symptoms, exposures, imaging, biopsy, and the condition’s signature syndromes. They also discuss treatment options, flare-ups, and the teamwork involved in caring for a disease with an unpredictable course.
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Comprehensive Sarcoidosis History
- Conduct comprehensive history to identify sarcoidosis organ involvement and assess symptom severity.
- Include queries on exposures, immune status, and lymphoma mimickers to guide appropriate diagnosis.
Early Detection via Symptom Vigilance
- Pay close attention and thoroughly evaluate any reported shortness of breath or chronic cough.
- Don't dismiss symptoms as aging or deconditioning; consider further workup to avoid delayed sarcoidosis diagnosis.
Primary Care Early Labs and Referral
- Primary care should order calcium, liver function tests, and immunoglobulins early to check for sarcoidosis impact and mimickers.
- Quickly refer for biopsy to secure diagnosis and guide treatment appropriately.