The Diagnosis of Sarcoidosis.
Clin Chest Med
; 36(4): 585-602, 2015 Dec.
Article
in En
| MEDLINE
| ID: mdl-26593135
ABSTRACT
Sarcoidosis is a diagnosis of exclusion; there exists neither a pathognomonic clinical feature nor a perfect diagnostic test. Missed diagnosis and overdiagnosis are common. A careful history and physical examination look for "footprints" of sarcoidosis or features suggesting alternative diagnoses. Some presentations are classic and do not require tissue confirmation. A tissue biopsy should be performed if doubt exists. Sampling intrathoracic disease by transbronchial or ultrasound-guided biopsy of mediastinal lymph nodes provide high diagnostic yield with low complication rates. Even with tissue confirmation, diagnosis is never secure and follow-up is required to be fully confident of the diagnosis.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Sarcoidosis
/
Biopsy
Type of study:
Diagnostic_studies
Limits:
Humans
Language:
En
Journal:
Clin Chest Med
Year:
2015
Document type:
Article
Affiliation country:
Estados Unidos