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26th February 2025
You are seeing a 55-year-old male with known sarcoidosis in rheumatology clinic.
You are seeing a 55-year-old male with known sarcoidosis in rheumatology clinic. The patient has been started recently on a course of prednisolone to treat their condition. On looking back at his notes, you note that the patient had fevers and erythema nodosum at presentation, and you see bi-hilar lymphadenopathy on his chest XR, with no pulmonary infiltrates.
His recent blood tests are shown below:
| Admission | Normal range | |
|---|---|---|
| Hb | 145 | (135-170) |
| WCC | 12.3 | (3.5-11.0) |
| Plt | 375 | (140-400) |
| Neut | 8.9 | (1.7-7.5) |
| ESR | 25 | |
| Urea | 6.5 | (2.9-8.2) |
| Creatinine | 90 | (66-112) |
| eGFR | 72 | |
| Corrected calcium | 2.72 | (2.20-2.60) |
| CRP | 25 | (0-5) |
Which of these is an indication for steroid treatment in sarcoidosis?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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