Patients with active disease |
Every 3 to 4 months |
ROS including fever, fatigue, weight loss, visual disturbance, dyspnea, cough, palpitations, abdominal pain, numbness, tingling, lightheadedness, syncope |
PE including skin exam, palpation of lymph nodes, lung exam |
Lab tests based on sites of disease activity and medications |
Spirometry, diffusing capacity, ambulatory oximetry (or 6 minute walk) |
Every 6 months |
Ophthalmologic exam, if on hydroxychloroquine |
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), sooner if visual disturbance |
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 exam, palpation of lymph nodes, lung exam |
Spirometry, diffusing capacity, ambulatory oximetry (or 6 minute walk) |
CBC and differential |
Creatinine |
Calcium |
Liver enzymes |
1,25 dihydroxy vitamin D |
EKG, sooner if palpitations, lightheadedness, syncope |
Ophthalmologic exam, sooner if visual disturbance |