Thank you. I was diagnosed with sarcoidosis in 1989 when it appeared in my eyes. I am now 74, 5 feet 8 inches tall and weigh 175 pounds. After all these years of having skin related problems with sarcoidosis, in 2012 I developed pericarditis due to sarcoidosis. Many months of heavy medications (prednisone and others) supposedly cleared it up, but recently I was told I have stage 3 kidney disease with a GFR of 44. My question is this: Can kidney disease be caused by sarcoidosis? If so, what can I do to prevent further deterioration of my kidney function?
Dear Patient the answer is yes. It gives an interstitial granulomatous nephritis that it is pretty evident on renal biopsy, although sarcoid is always an exclusion diagnosis. Treatment follows the indications of the systemic disease since kidney is a well known localization of this systemic disease. Please be sure to do a urinalysis in order to demonstrate low urine concentration.