Pulmonary Self-Study Resources-Sarcoidosis: Diagnosing and Managing Pulmonary, Endobronchial, and Cardiac Manifestations

Sarcoidosis: Diagnosing and Managing Pulmonary, Endobronchial, and Cardiac Manifestations - Video

Video Transcription

Video Summary

The video addresses the diagnosis and management of pulmonary sarcoidosis, specifically focusing on airway involvement. It explains various diagnostic algorithms and clinical syndromes that may not require a tissue diagnosis. The staging of sarcoidosis is discussed along with the use of chest x-rays and CT scans for diagnosis. Different biopsy methods are also mentioned, emphasizing the importance of obtaining tissue samples that show non-caseating granulomas. The treatment of sarcoidosis is highlighted, with a focus on second- and third-line agents such as methotrexate and infliximab. The video further explores the manifestations of airway sarcoidosis, including nodules, cobblestoning, and plaques. It stresses the importance of recognizing these manifestations and the potential risks they pose. Diagnostic approaches, including PFTs, imaging, and bronchoscopy, are explained, as well as the need to rule out other granulomatous diseases. The management of airway sarcoidosis primarily involves systemic treatment with steroids or other steroid-sparing agents but may include bronchoscopic interventions like balloon dilation for significant airway stenosis. Overall, the main message is to consider second-line and biologic agents to minimize the use of steroids and effectively manage sarcoidosis and its airway involvement.

Meta Tag

Asset Type Video

Curriculum Category Diffuse Parenchymal Lung Disease (DPLD)

Curriculum Subcategory Granulomatous interstitial lung diseases

Speaker Randal Goldberg

Speaker Kerry Hena

Speaker Marc Judson

Speaker Alberto Revelo

Keywords

pulmonary sarcoidosis

airway involvement

diagnosis

management

biopsy methods

non-caseating granulomas

treatment

methotrexate

infliximab

bronchoscopic interventions