A member asked:
All tests and biopsy point to sarcoidosis stage 2, sputum test shows no tb, however due to necrotizing my pulmonologist wants me to start tb regime even though pcr hasn't come back yet. can someone explain why this is? also on prednisone 25mg?
4 doctors weighed in across 3 answers
TBC SARCOID: I would guess he wants to treat u 4 tbc until he is certain you do not have tbc now. Culture will help decide but the bugs grow slowly and may take awhile. go to uptodate.com and read more then discuss with your team there. SARCOID and TBC may be different there than in US.
Answered 2/27/2021
0 views
Sarcoidosis...: If a biopsy was done, it would show non-caseating granulomas in sarcoidosis. But, tuberculosis and sarcoidosis can look similar on chest x-ray so, if no biopsy has been done yet, and tuberculosis has not been ruled out, your doc may be treating you for TB until it is clear which it is. The steroids would be helpful in sarcoidosis so you are currently being treated for both until test results known
Answered 2/28/2021
0 views
Agree with Drs. F&G: It is reasonable to use anti-tubercular treatment till you are sure you do not have TB. If is especially important because prednisone can make the untreated TB spread widely. Follow your doctor's advice. Wish you good health!
Answered 2/28/2021
0 views
Related Questions
A member asked:
Dear dr, i am taking prednisone for my sarcoidosis in my eyes and my shoulder but now i put on weight is there any other tablet our their?
A doctor has provided 1 answer
A member asked:
Is there any treatment for pulmonary sarcoidosis besides prednisone?
A doctor has provided 1 answer
A member asked:
Hi, the biopsy maybe taken from around the mass, which showed that it have sarcoidosis or granulomas. is it come with cancer?other tests needed?
A doctor has provided 1 answer
A member asked:
Prednisone for 2 weeks can affect hiv rna pcr test and antibody test? So please tell which test to do for accuracy? Recently diagnosed with Bell's palsy
A doctor has provided 1 answer
People also searched for:
I have the bruises on my legs that resemble erythema nodosum and I tested negative for sarcoidosis. Should I still have a biopsy to rule out erythema and possibly answer the question of what exactly is wrong with me? I've been tested for lupus and tb. Bo
Was diagnosed with 4th stage lung sarcoidosis in February, been on prednisone since but was tapered to 5mg per day and on chloroquine for the skin. If I contract covid19, what are my chances of successful recovery or mortality?
On prednisone 12d, off now 27d.Painful pitting edema both calfs.Likely pred.still cause or lymphoma or sarcoidosis I was testing for b4 was on pred.?
What do you think about the use of methotrexate to treat sarcoidosis and what are the alternatives besides prednisone?
I have sarcoidosis and am taking prednisone but my joints still hurt. Would you recommend adding an arthritis med?
Didn't find what you're looking for?
90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more.
Ask your questionMore of what we treat
Get the HealthTap app
Video visit and message your doctor
