Sarcoidosis

• Facts:
  Restrictive lung disease
  Multisystem disease causing noncaseating granulomas
  MC in african american females
• History / PE:
  Fever, cough, weight loss
  Erythema nodosum
  Hilar adenopathy
  Acute polyarthrits
  Anterior uveitis
• Diagnosis:
  Bilateral hilar adenopathy and reticular opacities (CXR)
  Biopsy confirmation on noncaseating granulomas
  Elevated ACE and calcium levels
• Treatment:
  Systemic steroids
• Pneumonic:
  Feature of sarcoidosis "GRUELING"
  
  G ranulomas (noncaseating)
  aR thritis
  U veitis
  E rythema nodosum
  L ymphadenopathy
  I nterstitial fibrosis
  N egative TB test
  G ammaglobulinemia