Brief Answer: Corticosteroids mainly, clinical state important Detailed Answer: Hi and thanks for the query, Treatment of sarcoidosis depends on the symptoms presented by the patient. Very mild disease might not require any treatment, but keen observation and follow up. The optimal management of sarcoidosis has not been well defined. Although corticosteroids remain the mainstay of treatment, there is little evidence for the optimal initiation, dosage, or duration of therapy. Depending on the extent of the disease and on the site affected, treatment shall be slightly different. In case the skin is seriously touched, topical steroids shall be added to systemic treatment. When the heart, nervous system, liver and other XXXXXXX organs are affected, oral and injectable steroids can be used. Follow up is very important to determine cases that are refractory to normal treatment, so that other treatment options be used. Cytotoxic and modulators of the immune system can be used under such circumstances. The main stay of treatment depends on the corticosteroids. The extent of disease and response to treatment alter the treatment options that can be used or offered. Steroids are first line and major drugs used. Cytotoxic agents and immmunomodulators are used in severe or refractory circumstances. Thanks and wishing you the best of health. Feel free asking follow up questions in case you got any special concerns. Kind regards as I wish you the best of health. Dr Rogers

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