Top
20
Doctor insights on: Sarcoidosis

Share
Dr. Marci Dietrich
856 Doctors shared insights

Sarcoidosis (Overview)

A condition in which nodules form in various organs, including lymph nodes, lungs, eyes, and liver. Common symptoms include cough, chest pain below the breast bone, fatigue, fever, and weight loss.


Dr. Marci Dietrich Dr. Dietrich
Bariatrics
37 years in practice
Philadelphia College of Osteopathic Medicine
1

1
What is sarcoidosis?

What is sarcoidosis?

Sarcoidosis: Dear jbennett, sarcoidosis is a disease of unknown etiology which can affect almost any part of a patient's body. It is known for the granulomas it produces--non-caseating--which can form commonly in the lungs. About 50% of the patients are african or hispanic origin, there is also a large % from northern europe. It has been found that a patient's immune response creates the granulomas.. .

See 1 more doctor answer
Dr. Marci Dietrich
856 Doctors shared insights

Sarcoidosis (Overview)

A condition in which nodules form in various organs, including lymph nodes, lungs, eyes, and liver. Common symptoms include cough, chest pain below the breast bone, fatigue, fever, and weight loss.


Dr. John Garner Dr. Garner
Internal Medicine - Cardiology
12 years in practice
The University of Iowa Roy J. and Lucille A. Carver College of Medicine
2

2
How does sarcoidosis differ from prolactinoma?

How does sarcoidosis differ from prolactinoma?

Almost not: Sarcoidosis is a systemic problem in which the body forms inflammatory granules in a variety of organs. A prolactinoma is a tumor leading to excess production of the hormone prolactin. A few conditions have both problems, but it's rather rare.

Dr. Jacques Kpodonu Dr. Kpodonu
Internal Medicine - Cardiology
23 years in practice
University of Ghana Medical School
3
Dr. Michael Sanders Dr. Sanders
Internal Medicine - Pulmonology
12 years in practice
Pikeville College School of Osteopathic Medicine
4
Dr. Ronald Krauser Dr. Krauser
Internal Medicine - Rheumatology
48 years in practice
Wake Forest University School of Medicine
5
Dr. Bennett Werner Dr. Werner
Internal Medicine - Cardiology
40 years in practice
University of Maryland School of Medicine
6

6
Elevated creatinine 1.01 32 y/of female. Sarcoidosis diagnosis in the past. BUN=12.Where do I go next?

Elevated creatinine 1.01 32 y/of female. Sarcoidosis diagnosis in the past. BUN=12.Where do I go next?

Normal: Your kidney function is completely normal. Why do you believe otherwise?

Dr. Shelby Terstriep Dr. Terstriep
Internal Medicine
16 years in practice
University of Missouri - Kansas City School of Medicine
7

7
Is it possible to have the separate diagnoses of carcinoid syndrome and sarcoidosis at the same time?

Yes: These are two separate diseases. Carcionoid syndrome is flushing and diarrhea associated with a carcinoid tumor and sarcoidosis is a disorder in which the body makes granulomas, typically in e lungs.

See 3 more doctor answers
Dr. Latoya Edwards Dr. Edwards
Family Medicine
16 years in practice
8

8
Test for sarcoidosis, ACE inhibitor results normal. Does this definitively rule it out?

Test for sarcoidosis, ACE inhibitor results normal. Does this definitively rule it out?

Not definitively: This does not completely rule out sarcoidosis. Work up includes thorough evaluation med history, exam and several tests may be indicated depending on other symptoms. Lesions of sarcoidosis often secrete the ACE enzyme. Not always high. You listed Chest XR as completed. Often ordered. More tests on lungs if needed. Possible biopsy of any lesions such as the rash you listed, if indicated

See 3 more doctor answers
Dr. PHILIP WALLER Dr. WALLER
Internal Medicine - Rheumatology
29 years in practice
Loyola University Chicago Stritch School of Medicine
9

9
What are the tests for sarcoidosis?

What are the tests for sarcoidosis?

See below: Tests many times are directed at the symptoms or physical findings. There is a blood test called an ace level which is positive in 2/3 of patients with sarcoid. Chest xray may show abnormalities. Biopsy of enlarged lymph nodes or other organ biopsy such as the lungs may be needed. Some patients will have anemia, increased inflammation markers such as a sed rate or crp.

See 1 more doctor answer
Dr. John Goldman Dr. Goldman
Internal Medicine - Rheumatology
51 years in practice
University of Cincinnati College of Medicine
10

10
How do you know if you have sarcoidosis?

Everyone different: Sarcoid can have many different manifestations. Characteristically you can have some of the follwoing: swollen lymph nodes, rashes, lung spots, eye changes, liver changes, skin rashes, etc. Each person is different and the diagnosis is made depending where the granulomas (the sarcoid biopsy inflammatory change) are found and if there is no other cause found. Your doctor can guide you here.

See 1 more doctor answer
Dr. Bruce Rothschild Dr. Rothschild
Internal Medicine - Rheumatology
37 years in practice
University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School
12

12
I have a slightly elevated angiotensin conv. Enzyme the cut off was 53 and I was 64. Does this mean I have sarcoidosis? And is that a fatal illness?

See below: Sarcoidosis can be such a mild disorder that no treatment is needed or can be life-threatening. Most of the time simple treatments - not steroids - will control the disease. Workup for underlying causes/mimics is essential. Ace levels are meaningful only related to clinical symptoms. Rheumatologist should provide clarification.

See 1 more doctor answer
Dr. Trushar Dungarani Dr. Dungarani
Internal Medicine
8 years in practice
13

13
Is sarcoidosis pancreatitis treatable?

Yes: Most cases resolve sporadically or with steroids. Very rare to get sarcoidosis there.

See 1 more doctor answer
Dr. Douglas Arenberg Dr. Arenberg
Internal Medicine - Pulmonary Critical Care
27 years in practice
University of Illinois College of Medicine
14

14
How to doctors treat sarcoidosis?

Most often we don't: But in cases where the sarcoid causes symptoms that don't go away on their own, or when organ damage is severe, or imminent, then steroids are the first step. Long term we try to get off steroids and use other drugs like methotrexate, Hydroxychloroquine ("plaquenil") and several others that are used less commonly.

See 1 more doctor answer
Dr. Michael Sanders Dr. Sanders
Internal Medicine - Pulmonology
12 years in practice
Pikeville College School of Osteopathic Medicine
15

15
How long does the treatment of sarcoidosis take?

See below: How long does it take for what? To get better? No way to know. Or are you meaning do you have to take it life long? Often yes, although some people do get better.

See 1 more doctor answer
Dr. Michael Sanders Dr. Sanders
Internal Medicine - Pulmonology
12 years in practice
Pikeville College School of Osteopathic Medicine
16

16
What are the treatments for sarcoidosis?

There are several...: Prednisone is the usual first line therapy. If that doesn't control symptoms, then methotrexate or azothioprine can be tried. Acthar is another very expensive drug that seems to have a very good effect.

See 2 more doctor answers
Dr. Rick Koch Dr. Koch
Internal Medicine - Cardiology
18 years in practice
University of Chicago Pritzker School of Medicine
17
Dr. Dennis Clifford Dr. Clifford
Internal Medicine - Pulmonary Critical Care
39 years in practice
University of Minnesota Medical School
18

18
Where can I get the best treatment for sarcoidosis?

Pulmonologist: Since most sarcoidosis starts or involves the lungs, pulmonary medicine specialists are the most common treating physicians. However, immunologists and rheumatologists can also be effective providers. Since so many organs can be involved by sarcoidosis, many different specialists can be required for management.

See 1 more doctor answer
Dr. Bennett Werner Dr. Werner
Internal Medicine - Cardiology
40 years in practice
University of Maryland School of Medicine
19

19
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?

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?

NO: There's no substitute for Prednisone and yes, weight gain is a known side effect. The side effects are dose related. Your doctor can help you taper to the smallest effective dose and that may help. Good luck!

Dr. Yash Khanna Dr. Khanna
Family Medicine
53 years in practice
University of Lucknow, K. G. Medical College
20

20
What happend if I refused to take any meds for my sarcoidosis? It will gets worst? Or will be the same? I really don't want to take anything.

Can not comment: We can not comment without knowing details of your condition.Sarcoidosis can be asymptomatic to affecting one or more bodily organs. If your doctors have prescribed the meds, and you did not say what meds have been prescribed by not following your doctors treatment you are taking a big risk and it can do serious damage to your body so talk to your doctors and follow their advice.

See 3 more doctor answers