• 64M
  • stage IV fibrosing pulmonary sarcoidosis
    • involvement
      • ocular and
      • skin
    • on chronic prednisone
  •  progressively worsening symptoms
    • attempts to wean his steroids
    • resulted with worsening wheezing.
  • Echo
    • pHTN,
      • PASP ~50 with mean PA ~30.

14 Years ago

6 years ago

3Yearsago

3 years ago

2 Years Ago

Current

 

Discussion

Why is he short of breath?

On high dose steroids but needs it to remain comfortable

? Methotrexate

Weight loss

? Antifibrotics Not widely used in sarcoidosis

? Pulmonary Hypertension vs progressive lung disease