26th February 2025

Management of sarcoidosis

Acute sarcoidosis is generally self-limiting and does not require intervention.

Management of chronic sarcoidosis varies from case to case, depending on presentation and organ involvement. A global summary, which should be adequate for MRCP purposes, is that glucocorticoids are indicated where there is risk of significant or progressive organ involvement, demonstrated by the mnemonic PUNCH: 

• Progressive lung involvement
• Uveitis
• Neurological involvement
• Cardiac involvement
• Hypercalcaemia