Sarcoidosis

Question 1

Who is commonly affected by sarcoid?

Answer 1

Afro-carribean, Women, Young

Question 2

What are the CXR signs of sarcoid?

Answer 2

Bilateral hilar lymphadenopathy

Question 3

What other disease show bilateral hillier lymphadenopathy?

Answer 3

TB
Lymphoma
Pneumoconiosis
Metastatic disease

Question 4

What spirometry pattern does sarcoid produce?

Answer 4

Restrictive

Question 5

What are the lung symptoms of sarcoid?

Answer 5

Dry cough
SOB
Chest pain
Exercise tolerance

Joint pains

Question 6

What are the systemic symptoms of sarcoid?

Answer 6

Hepatomegally 
Splenatomegally 
Uveitis Phalangeal bone cysts 
Cardiomyopathy 
Painful blue-red nodules on shins (erythema nudosom)

Question 7

What are the tests for sarcoid?

Answer 7

CXR
CT
Blood test - lymphopenia 
Urine test - raised Ca+
Lung function test - restictive 
Bone X ray - punched out appearance
Tissue biopsy - diagnosis made on demonstration of non-caseating granulomata

Question 8

What is the main symptom of Sarcoid?

Answer 8

Tissue biopsy - diagnosis made on demonstration of non-caseating granulomata

Question 9

What are the four major signs of sarcoid?

Answer 9

Hilar lympadenopathy
Nodal involvement
Fibrosis
Just parenchyma involved

Question 10

What is the treatment for Sarcoid?

Answer 10

Steroid therapy

Immunosuppressive therapy