What is the presentation of sarcoidosis?

Updated: Sep 15, 2020
  • Author: Nader Kamangar, MD, FACP, FCCP, FCCM; Chief Editor: Zab Mosenifar, MD, FACP, FCCP  more...
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Answer

The presentation in sarcoidosis varies with the extent and severity of organ involvement, as follows:

  • Asymptomatic (incidentally detected on chest imaging): Approximately 5% of cases

  • Systemic complaints (fever, anorexia): 45% of cases

  • Pulmonary complaints (dyspnea on exertion, cough, chest pain, and hemoptysis [rare]): 50% of cases

  • Löfgren syndrome (fever, bilateral hilar lymphadenopathy, and polyarthralgias): Common in Scandinavian patients, but uncommon in African-American and Japanese patients


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