Uncategorized
  • 64M
    • stage IV fibrosing pulmonary sarcoidosis
      • involvement
        • ocular and
        • skin
      • on chronic prednisone
    •  progressively worsening symptoms
      • attempts to wean his steroids
      • resulted with worsening wheezing.
    • Echo
      • pHTN,
        • PASP ~50 with mean PA ~30.

14 Years ago

6 years ago

3Yearsago

3 years ago

2 Years Ago

lung-sarcoid-64M-stagee-5-016-2years-ago-CT.jpg

lung-sarcoid-64M-stagee-5-018-2years-ago-CT.jpg

Current

lung-sarcoid-64M-stagee-5-027-current-CT.jpg

lung-sarcoid-64M-stagee-5-030-current-CT.jpg

 

Discussion

Why is he short of breath?

On high dose steroids but needs it to remain comfortable

Treatment of Sarcoid

? Methotrexate

Weight loss

? Antifibrotics Not widely used in sarcoidosis

? Pulmonary Hypertension vs progressive lung disease