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Medicine

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Respiratory

Question
3 out of 10
 

Following cranial nerve is most commonly involved in patients with sarcoidosis: (AIPG 2011)



A II Cranial nerve.
B III Cranial nerve.

C VII Cranial nerve.
D IX Cranial nerve.

Ans. C

VII Cranial nerve

Clinical features of sarcoidosis Asymptomatic Q .

1). Acute sarcoidosis often presents with erythema nodosum Q, polyarthralgiaQ.

2). Pulmonary disease 90% have abnormal CXRs with bilateral hilar lymphadenopathy Q (BHL), pulmonary infiltrates Q or fibrosis Q;

3). Cavity formation and plural effusion are uncommon.

Symptoms:

1). Dry cough, progressive dyspnea, exercise intolerance and chest pain.

2). Non-pulmonaryQmanifestations are lymphadenopathy; hepatomegaly, splenomegaly;

3). Uveitis; conjunctivitis; keratoconjunctivitis sicca; glaucoma;

4). Terminal phalangeal bone cysts.

5). Enlargement of lacrimal and parotid glands

6). Bell's palsy;(Seventh nerve is the most common cranial nerve involved) neuropathy; meningitis;

7). Erythema Nodosum; lupus pernio; subcutaneous nodules;

8). Cardiomyopathy; arrhythmias;

9). Hypercalcemia; hypercalciuria; renal stones;

10). Pituitary dysfunction. (Note: All non-pulmonary manifestations are MCQ)

Extra Edge - Causes of BHL (bilateral hilar lymphadenopathy)

1). Infection TB

2). Malignancy Lymphoma, carcinoma, Mediastinal tumours

3). Organic dust Silicosis, Berylliosis

4). Extrinsic allergic alveolitis

5). Sarcoidosis

Respiratory Flashcard List

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