QuestionSBA
QuestionChoice
Due to the acute presentation of sarcoidosis, it is most appropriate for the patient to be treated with bed rest and NSAIDs (to control pain and act as an antipyretic).
10001281
a
Bed rest and NSAIDs
QuestionChoice
Methotrexate is used to treat sarcoidosis if it does not respond to oral corticosteroids. This presentation does not meet the criteria to be treated with steroids as there is no eye involvement, hypercalcaemia, neurological involvement or cardiac involvement.
10001285
e
Methotrexate
QuestionChoice
In order for sarcoidosis to be treated with steroids there must be eye involvement, hypercalcaemia, neurological involvement or cardiac involvement. Steroids are also indicated in severe and persistent erythema nodosum; the 5-day history from this patient does not fulfil this criterion.
10001282
b
Oral prednisolone
QuestionChoice
Supportive treatment is required for this acute presentation with NSAIDs to target pain and prevent pyrexia.
10001283
c
No treatment required
QuestionChoice
This is the treatment for Tuberculosis. Although bilateral hilar lymphadenopathy may be visible on an x-ray for tuberculosis, the clinical features in this patient including lupus pernio and erythema nodosum make sarcoidosis a much more likely diagnosis.
10001284
d
Rifampicin, isoniazid, pyrazinamide, ethambutol quadruple therapy
Concept
Chapter
2693
3694
Sarcoidosis
Topic
132
Respiratory
12803
A 30-year-old Afro–Caribbean female presents to Accident and Emergency with a 5-day history of shortness of breath and complaints of pain in both legs.

On examination, there are red lesions on her shins as well as a violaceous rash across her nose and cheeks. There are widespread crackles on auscultation of the lungs.

Chest x-ray shows bilateral hilar lymphadenopathy.

Given the most likely diagnosis, which of the following is the most appropriate management plan?
a