ABSTRACT

The lung is the most frequently affected organ in patients

with sarcoidosis (Scadding 1961; Mitchell et al. 1977; Neville

et al. 1983; Hillerdal et al. 1984; Baughman et al. 2001).

Pulmonary sarcoidosis exhibits a wide range of clinical and

radiological phenotypes. The most frequent of these is

a predominantly bronchocentric, and often self-limiting,

granulomatous inflammation. Up to 10 percent of patients

however, even at first presentation have irreversible fibrotic or

fibrobullous change (Scadding 1961; Baughman et al. 2001).

This is generally associated with ongoing granulomatous

inflammation. Furthermore, as many as 1020 percent of the patients who present with initially inflammatory lesions

alone subsequently develop chronic disease that progresses

to fibrosis.