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Discussion Starter · #1 · (Edited)
Although in clinical practice we tend to put sarcoidosis on the bottom of the list, in USMLE you should highly suspicious of this diagnosis.
Classically, they'll say
Middle aged person presented with chronic dry cough, plus some abnormal central CXR finding (hilar lymphadenopathy) and perhaps they give you an elevated level of Calcium in the blood.
Such a scenario should immediately makes you think of sarcoidosis and then the question can about the following:

  • Non caseating granuloma
  • Use of steroids in the treatment
  • Mikulicz syndrome
  • Elevated ACE levels
  • Schaumann bodies and Asteroid bodies
Also see this thread
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