[Beyond pulmonary function: toward personalized work ability assessment in sarcoidosis]

Sarcoidosis is a systemic inflammatory disease characterized by heterogeneous organ involvement and an unpredictable clinical course. Although clinical assessment often focuses on objective measures of disease activity, many patients experience persistent symptoms that substantially impair their quality of life. Fatigue, cognitive disorders, dyspnea and pain are common and often markedly underestimated, particularly when objective disease activity appears limited. These symptoms may significantly interfere with daily life activities and work commitment, even in patients with clinically stable disease. Relying solely on organ involvement or traditional clinical parameters may therefore lead to an incomplete assessment of work ability. A holistic approach, integrating clinical findings with patient-reported outcomes and psychosocial factors, is essential. Explicit attention to quality of life and limitations in daily activities is conducive to an accurate evaluation of functional capacity, improved patient-physician communication, and individualized support aimed at achieving sustainable participation in work and society.