[Diagnosis and management of pulmonary sarcoidosis]

The clinical presentation and both the nature and severity of organ involvement are highly heterogeneous and are influenced by ethnic, genetic, and geographic factors. Establishing the diagnosis can be challenging due to the wide spectrum of clinical manifestations. Careful assessment of the indication for pharmacological treatment, as well as the preferred agent, is of paramount importance in every patient to optimize management and to minimize the risk of potentially serious adverse effects. Supportive measures and non-pharmacological treatment options may relieve symptoms and improve quality of life. In this article, we present a patient in whom the diagnosis of pulmonary sarcoidosis was established and for whom an indication for immunosuppressive therapy was present. Using this case history, we illustrate the diagnostic process and current therapeutic developments in pulmonary sarcoidosis.