Sarcoidosis Microchapters

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Case #1

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Roshan Dinparasti Saleh

## Overview[edit | edit source]

On chest x-ray, sarcoidosis is characterized by bilateral hilar adenopathy and/or lung infiltrates. The most severe pulmonary complication of the sarcoidosis is lung fibrosis.

## Chest X Ray[edit | edit source]

An x-ray may be helpful in the diagnosis of the sarcoidosis. On Chest X ray, Bilateral hilar adenopathy on Chest X Ray raises the suspicion for sarcoidosis, especially if the patient has no fever and/or weight loss[1][2]. Scadding[3] proposed a scoring system for pulmonary sarcoidosis according to Chest X Ray findings:

* Stage I: Hilar adenopathy alone
* Stage II: Adenopathy plus lung infiltrates
* Stage III: Lung infiltrates alone
* Stage IV: Fibrosis

### Gallery[edit | edit source]

Stage I sarcoidosis adapted from www.radiopaedia.org

Stage II sarcoidosis adapted from www.radiopaedia.org

Stage VI sarcoidosis adapted from www.radiopaedia.org

## References[edit | edit source]

1. ↑ Reich JM, Brouns MC, O'Connor EA, Edwards MJ: Mediastinoscopy in patients with presumptive stage I sarcoidosis: a risk/benefit, cost/benefit analysis. Chest 1998, 113(1):147-153.
2. ↑ Winterbauer RH, Belic N, Moores KD: Clinical interpretation of bilateral hilar adenopathy. Annals of internal medicine 1973, 78(1):65-71.
3. ↑ Scadding JG: Prognosis of intrathoracic sarcoidosis in England. A review of 136 cases after five years' observation. British medical journal 1961, 2(5261):1165-1172.

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