16
Diagnosis
Table 5. Best Practice Recommendations for Detection
of Delayed Onset of Extrapulmonary Sarcoidosis
Manifestations after Negative Baseline Screening
Test Parameter
Routine Testing for New
Sarcoidosis Involvement
New Conditions Triggering
a Specific Testing for
Extrapulmonary Sarcoidosis
Involvement
Calcium Annually • Kidney stones
• Acute or acute on chronic
renal failure
Creatinine Annually —
Alkaline phosphatase Annually —
Eye exam None • Change in vision
▶ Floaters
▶ Blurry
▶ Visual field loss
• Eye pain, photophobia, or
redness (sustained)
Cardiac testing None • Chest pains
• Palpitations
• Near syncope/syncope
• Sustained bradycardia or
tachycardia
• Dyspnea out of proportion to
lung disease
• New ECG findings
Pulmonary
hypertension testing
None Clinical signs of pulmonary
hypertension (See full text
guidelines)
