20th February 2025

A 41-year-old man is referred to respiratory clinic with a 6-month history of cough and fatigue.

A 41-year-old man is referred to respiratory clinic with a 6-month history of cough and fatigue. He is usually fit and well, exercises regularly and has never smoked. He is not on any regular medication.  Blood tests show a mildly elevated calcium and ACE.

You suspect sarcoidosis.

His CXR shows upper zone reticulonodular shadowing and hilar lymphadenopathy.

What stage would you classify this patient’s sarcoidosis as?

Select the SINGLE most appropriate option from the list below. Select ONE option only.