What is the treatment of sarcoidosis?

Corticosteroids (dramatic remissions are possible in 60-90%) Relapse may occur 16-74% of cases, but we may have spontaneous remission Usually we use immunosupressive Rx (methotrexate, cyclosporin) and not inhaled corticosteroids. NSAIDs effective for joints involvement but not severe pulmo and extrapulmo Antimalarial drugs (chloroquine) immunomodulating effect in granuloma (in cutaneous, osseous, neuro sarcoidosis and hypercalcemia), but since chloro is ocular toxic, it is preferred to use hydroxychloroquine (200mg once/twice a day for 6-months Long term maintainance of Rx is needed (100-400 mg/day) + slit-lamp exam for ocular toxicity monitoring