Skip to main content
. 2020 Jan 13;46(1):15–25. doi: 10.1590/S1677-5538.IBJU.2019.0042

Table 1. Extra pulmonary signs and symptoms of Sarcoidosis.

Organ/System Prevalence (%) Simptoms Investigation
Cutaneous system 15% (9-37%) Papules, nodules, plaques, scar sarcoidosis, lupus pernio, subcutaneous sarcoidosis Biopsy
Peripheral lynphnodes 10-20% Mostly cervical or supraclavicular, inguinal, axillar, epitrochlear or submandibular lymph node sites; painless and mobile Biopsy
Ocular system 10-30% Anterior, intermediate, or posterior uveitis, retinal vascular change, conjuntival nodules, lacrimal gland enlargement Systematics ophtalmologist exam, slit-lamp exam, fluorescein angiography
Hepatic (Gastrointestinal system) 20-30% Often symptom-free. Abnormal liver function test, hepatomegaly, rarely cholestasis, portal hypertension, hepatic insufficiency Systematics liver function tests, CT, biopsy
Splenic (Gastrointestinal system) 10% Splenomegaly; rarely pain, pancytopenia; very rarely, splenic rupture Echography, CT
Cardiovascular system 2-5% Atrioventricular or bundle branch block, ventricular tachycardia or fibrillation, congestive heart failure, pericarditis, irmpaiment of sympathetic nerve activity Eletrocardiography, Echocardiography, BNP, MRI, scintigraphy, FDG PET
Nervous System 5% Facial nerve palsy, optic neuritis, leptomeningitis, diabetis insipidus, hypopituitarism, seizures, cognitive dysfunction, deficts, hydrocefalus, psychiatric manifestations, spinal cord disease Cerebrospinal fluid investigation, MRI, hormonal dose, eletromyography, biopsya rarely done
Renal system 5-20% Increased creatininemia, hypercalcemia, nephrocalcinosis, kidney stones Systematic renal tests, biopsy

Extrapulmonary investigation

Adapted - Sarcoidosis(25); Management of extrapulmonary sarcoidosis (27).