skip to main content

Acute sarcoidosis — SCE Respiratory MCQ

Instant feedback + full explanation. One question, done properly.

HardILDAcute sarcoidosisSCE Respiratory

A 38-year-old woman presents with erythema nodosum, ankle arthralgia and cough. CXR shows bilateral hilar lymphadenopathy without parenchymal infiltrates. Serum calcium is normal, lung function is normal and symptoms are improving with NSAIDs. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: A — Observation with symptomatic treatment and follow-up

This is Löfgren syndrome, an acute sarcoidosis phenotype with a high spontaneous remission rate, so observation and symptomatic treatment are appropriate. Steroids are reserved for significant organ involvement or troublesome persistent disease. TB treatment, methotrexate and surgery would be inappropriate without evidence of those indications.

Reference: BTS Clinical Statement on Pulmonary Sarcoidosis