Ix and Mx of Sarcoidosis

Question 1

Name 4 key features of a blood test in Sarcoidosis

Answer 1

1. Increased ACE activity (T cells release it)
2. Increase Ca2+ (excess vit D released by immune cell)
3. LFT raised
4. ESR raised

Question 2

Name 3 features seen in a chest x ray in Sarcoidosis?

Answer 2

1, Mid zone fibrosis

2. Interstitial changes
3. Non caseating granulomas

Question 3

Name 3 methods of imaging in ‘Sarcoidosis’

Answer 3

1. Chest X ray
2. Spirometry (restrictive)
3. Bronchoalveolar lavage ( high T cells)

Question 4

Mx of Sarcoidosis

Answer 4

1. Self remitting

2. Prescribe steroids and analgesia