Referral to specialist, Sarcoidosis 4.63/5 (8)

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What type of specialist depends on the organ manifestations

  • Mainly joint affection: Rheumatologist
  • Pulmonary abnormalities mainly: Lung specialist
  • Liver manifestation must be clarified: Gastroenterologist
  • Cardiac disorders: Cardiologist
  • Eye: Ophthalmologist
  • Skin: Dermatologist

Disease history

  • What typical organ symptoms?
  • General condition is affected (night sweat / some fever, fatigue, weight loss)?

Medical examinations

  • Enlarged lymph nodes by palpation
  • Hepatosplenomegaly
  • Heart failure and / or rhythm disturbance
  • Auscultation of lungs
    • Crepitations
  • X-ray examination or CT examination of lungs (Enlarged hilus glands or Interstitial pulmonary disease)
  • Lung function tests
    • Preferably with DLCO / TLCO (gas diffusion)
  • Auscultation of heart
  • ECG (rhythm disturbances)
  • Blood tests

    • Blood sedimentation rate (ESR) and CRP (moderate increase)
    • Leukocytes (Leukopenia among 5 - 10%)
    • ACE (angiotensin converting enzyme increased by generalized disease)
    • IgG (low among 80%)
    • Calcium (increased)
    • Alkaline phosphatase and liver enzymes (increased)

Differential diagnosis

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