Key Points

– Diagnosis of sarcoidosis on integrated assessment of clinical, radiologic, and pathologic information

– The aggressiveness of diagnostic testing depends on the clinician’s confidence and the stokes involved. The strategy is tempered by patient input, clinician, comfort and local capabilities.

– EBUS-TBNA is becoming the diagnostic procedure of choice in many centres, because of high sensitivity and low complication rate

– Specific radiologic patterns on HRCT may allow confident diagnosis despite biopsy.

– FDGPET scanning permits the visualization of unsuspected biopsy targets, as well as documentation of acute disease ativity in persistently symptomatic patients.


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