What is the best next step in management for a 38-year-old female with bilateral hilar lymphadenopathy and non-caseating granuloma?
Understand the Problem
السؤال يطلب منا اتخاذ خطوة الإدارة التالية للمريض الذي يعاني من تضخم العقد اللمفاوية الهيلية وعينة خزعة تظهر وجود جرانولومات غير متجبنة. يجب علينا التفكير في الخيارات المتاحة ومعرفة أيها الأنسب بناءً على الحالة.
Answer
Consider corticosteroids if symptomatic or progressive.
The best next step in management is to consider corticosteroids if the patient has significant symptoms or progressive sarcoidosis.
Answer for screen readers
The best next step in management is to consider corticosteroids if the patient has significant symptoms or progressive sarcoidosis.
More Information
Sarcoidosis may not require treatment unless there are significant symptoms or progressive disease, as it can resolve spontaneously. Corticosteroids are the first line treatment if needed.
Tips
A common mistake is starting treatment without confirming the presence of significant symptoms or disease progression.
Sources
- Diagnosis and Management of Sarcoidosis - AAFP - aafp.org
- Sarcoidosis: Causes, Symptoms, Diagnosis & Treatment - my.clevelandclinic.org
- Management of sarcoidosis in clinical practice - publications.ersnet.org
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