Sarcoidosis

Stage 1 - Bilateral LAD without involvement of lung parenchyma

Stage 2 - Bilateral LAD with involvement of lung parenchyma

Stage 3 - Parenchyma involvement without LAD

Stage 4 - Fibrosis

Pulmonary:

 - Most common manifestations include hilar LAD and diffuse interstitial lung disease with infiltrates primarily in the upper lobes

 - Pneumothcrax, pleural thickening, chylothorax, and pulmonary hypertension are less common

 - Rare to hear crackles on exam, may hear wheezing with bronchial involvement of sarcoid

Lofgren Syndrome - Triad of hilar adenopathy, erythema nodosum, and polyarthralgias

Heerfordt syndrome - Uveitis, parotid gland sweling, fever, and facial nerve palsy



Dr. Ann Marie Kumfer @AnnKumfer



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