Patients with active disease |
Every 3 to 6 months |
ROS including fever, fatigue, weight loss, visual disturbance, dyspnea, cough, palpitations, abdominal pain, numbness, tingling, lightheadedness, syncope |
PE including skin examination, palpation of lymph nodes, lung exam |
Laboratory tests based on sites of disease activity and medications |
Spirometry, diffusing capacity |
Every 12 months |
CBC and differential |
Creatinine |
Calcium |
AST, ALT, Alkaline phosphatase |
25 hydroxy vitamin D |
1,25 dihydroxy vitamin D |
EKG; sooner if palpitations, lightheadedness, syncope |
Ophthalmologic exam (slit lamp, fundoscopic, tonometric), if on hydrocychloroquine |
Chest radiograph |
As indicated by symptoms or other tests |
HRCT |
Echocardiogram |
Holter monitoring |
Urinalysis |
TSH (association of thyroid autoimmunity and sarcoidosis) |
Bone density when glucocorticoid therapy initiated and then every 3 years |
MRI with gadolinium if neurologic symptoms (unless diabetic) |
Patients with inactive disease for 2 or more years |
Every 12 to 18 months |
ROS including fever, fatigue, weight loss, visual disturbance, dyspnea, cough, palpitations, abdominal pain, numbness, tingling, lightheadedness, syncope |
PE including skin examination, palpation of lymph nodes, lung exam |
Spirometry, diffusing capacity |
CBC and differential |
Creatinine |
Calcium |
Liver enzymes |
1,25 dihydroxy vitamin D |
EKG; sooner if palpitations, lightheadedness, syncope |
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