A 39 year old female presents to you for cough that she has had for 7 months. It is a dry cough that she has assumed is related to her allergies. Nothing makes this cough go away. She takes no medications, other than Zyrtec daily and has no past medical history. Over the past 2-3 weeks she develops, fatigue, night sweats and even reports a fever.

It seems this may be a bit more than simple allergies. You wisely obtain a CXR to evaluate this chronic cough with now constitutional symptoms and you believe you have your answer when you see the finding of bilateral hilar adenopathy.

Now, how to manage it? What tests need to be ordered further? What advice do you give this patient? What are we going to do?

On today's podcast we dive into the curious and fascinating disease known as sarcoidosis.

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