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. 2020 Apr 17;16:323–345. doi: 10.2147/TCRM.S192922

Table 1.

Main Differential Diagnoses to Exclude in Sarcoidosis

Sarcoidosis Subtype Possible Differential Diagnosis
Mediastino pulmonary sarcoidosis Tuberculosis and mycobacterial infections
Hodgkin disease and non-Hodgkin’s lymphoma
Histoplasmosis, coccidioidomycosis, aspergillosis
Pneumoconiosis: chronic beryllium disease, titanium, aluminium, talc
Hypersensitivity pneumonitis
Drug reactions
Granulomatosis with polyangiitis, eosinophilic granulomatosis with polyangiitis
Extra thoracic sarcoidosis Tuberculosis and mycobacterial infections
Whipple disease, bartonellosis, Q fever, brucellosis, syphilis, toxoplasmosis, fungal infections
Hodgkin disease and non-Hodgkin’s lymphoma
Tumor associated sarcoid reaction
Crohn’s disease, primary biliary cirrhosis
Drug induced sarcoidosis (interferon α and β, intravesical BCG therapy, TNFα inhibitors, immune check point inhibitors)
Common variable immunodeficiency

Abbreviations: BCG, Bacillus Calmette et Guérin; TNF, tumor necrosis factor.