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To exclude sarcoidosis in a case presenting with pulmonary symptoms might involve a chest radiograph, CT scan of chest, PET scan, CT-guided biopsy, mediastinoscopy, open lung biopsy, bronchoscopy with biopsy, endobronchial ultrasound, and endoscopic ultrasound with fine-needle aspiration of mediastinal lymph nodes (EBUS FNA).
Löfgren syndrome is a type of acute sarcoidosis, [1] an inflammatory disorder characterized by swollen lymph nodes in the chest, tender red nodules on the shins, fever and arthritis. [2] It is more common in women than men, and is more frequent in those of Scandinavian, Irish, African and Puerto Rican heritage.
Symptoms tend to be brief, but can range from mild to severe and include: fever, vomiting, increased respirations or difficulty breathing, cough, wheeze, and rash. Symptoms typically follow an exposure to allergens or certain drugs, and last approximately two weeks. [3] Eosinophilia is the main feature of diagnostic criteria for Loffler's syndrome.
Conglomerate masses can also develop in sarcoidosis, [5] but usually near the hilae and with surrounding paracicatricial emphysema. The disease arises firstly through the deposition of silica or coal dust (or other dust) within the lung , and then through the body's immunological reactions to the dust.
Pulmonary fibrosis is a condition in which the lungs become scarred over time. [1] Symptoms include shortness of breath, a dry cough, feeling tired, weight loss, and nail clubbing. [1] Complications may include pulmonary hypertension, respiratory failure, pneumothorax, and lung cancer. [2]
Think about the healthy life years you gain just from minimizing these risks, considering lung cancer and heart disease are by far the leading causes of premature deaths among men and women in the US.
Other symptoms due to sarcoidosis of other organs may be uveitis (inflammation of the uveal layer in the eye), dyspnoea (shortness of breath), arthralgia (joint pains), lupus pernio (a red skin rash, usually of the face), erythema nodosum (red skin lumps, usually on the shins), and symptoms of liver involvement or heart involvement (heart failure).
Symptoms usually show up two to six hours after eating or contact with the animal product, according to the CDC, and they include: Hives or itchy rash. Nausea or vomiting. Severe stomach pain.