5th May 2024

A 35-year-old female patient presents with a persistent dry cough, shortness of breath, and bilateral hilar lymphadenopathy on chest X-ray.

A 35-year-old female patient presents with a persistent dry cough, shortness of breath, and bilateral hilar lymphadenopathy on chest X-ray. She has no significant past medical history. Pulmonary function tests indicate reduced lung volumes and diffusing capacity. A diagnosis of pulmonary sarcoidosis, symptomatic stage II, is made.

Which is the most appropriate initial management option for this patient?