How do you treat patients with sarcoid who have persistent symptoms after an initial 6 week course of corticosteroids?
2
3 Answers
Mednet Member
Pulmonology · University of Virginia Health Systems
The answer to this question depends on what organ(s) you are treating and how severe the manifestation(s) is/are because you must balance the risk of the treatment itself, and the risk of flare with an aggressive steroid taper. 6 weeks of steroids is not appropriate for cardiac sarcoidosis that over...
Mednet Member
Pulmonology · Regents Of The University Of Michigan
6 weeks may be insufficient to gauge the response. That said, the usual truism is sarcoid patients do not need to be at a high dose of prednisone long - they just require a long taper to prevent relapse. If this patient is receiving 40 mg/d of prednisone, I would continue it for another month and re...