Can granulomatous inflammation been treat by immunologist?

Not generally: Most clinical immunologists treat patients with immune deficiencies and allergies but not autoimmune or rheumatologic diseases. Some immunologists also get training in caring for patients with autoimmune/ rheumatologic problems but it is not standard training for immunologists that are board certified in allergy and immunology.Granulomatous disease is almost always either infection or autoimmune.

Context of lesions?: The finding of granulomas is not specific enough to direct you to the right subspecialist, as you may need an infectious disease, pulmonary or GI doctor. It is best to have your primary doctor guide you to the right subspecialist to evaluate your findings.

Depends on the cause: Granulomatous inflammation is a chronic inflammatory response characterised by focal collections of macrophages, epithelioid cells and multinucleated giant cells. The causes of granulomas is quite varied, from a foreign body reaction, to infectious causes (such as tb, syphilis, histoplasmosis), to systemic immune conditions including sarcoidosis. Rx by an immunologist or infectious disease md.