Which organs are affected by sarcoidosis?

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Last updated: February 11, 2025View editorial policy

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From the Guidelines

Sarcoidosis is a systemic disease that can affect multiple organs, including the lungs, heart, brain, eyes, kidneys, skin, and lymph nodes.

Organs Affected by Sarcoidosis

  • Lungs: pulmonary disease is a common manifestation of sarcoidosis, and can lead to pulmonary hypertension, reduced lung function, and pulmonary fibrosis 1
  • Heart: cardiac disease is a significant cause of morbidity and mortality in sarcoidosis patients, and can lead to arrhythmias, congestive heart failure, and sudden cardiac death 1
  • Brain: neurologic manifestations of sarcoidosis can include seizures, headaches, and cranial nerve deficits 1
  • Eyes: ocular involvement is common in sarcoidosis, and can lead to uveitis, conjunctivitis, and vision loss 1
  • Kidneys: renal involvement can occur in sarcoidosis, and can lead to kidney failure and end-stage renal disease 1
  • Skin: cutaneous manifestations of sarcoidosis can include lupus pernio, erythema nodosum, and skin plaques 1
  • Lymph nodes: lymphadenopathy is a common feature of sarcoidosis, and can be seen in the chest radiograph as bilateral hilar adenopathy 1 It is essential to assess organ involvement and risk for significant morbidity when making treatment decisions for sarcoidosis patients 1.

From the Research

Organs Affected by Sarcoidosis

  • The pulmonary system is commonly affected by sarcoidosis, as well as other organs including:
    • Eyes 2, 3, 4, 5
    • Skin 2, 3, 4, 5
    • Liver 2, 3, 4, 5
    • Spleen 2, 3
    • Lymph nodes 2, 3, 4
    • Heart 3, 5
    • Upper respiratory tract 3
    • Nervous system 3
    • Bones 3
  • Virtually any organ can be affected by sarcoidosis, with clinical presentations ranging from asymptomatic to organ failure 4
  • The frequency of organ involvement can vary, with lung involvement being the most common, affecting at least 90% of patients, followed by skin, eye, liver, and peripheral lymph node involvement 5
  • Some organs, such as the heart, may be affected in a significant percentage of patients, but may only cause clinical problems in a small percentage of cases 5

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Sarcoidosis: a review for the internist.

Internal and emergency medicine, 2018

Research

Clinical Manifestations, Diagnosis, and Treatment of Sarcoidosis.

Mayo Clinic proceedings. Innovations, quality & outcomes, 2019

Research

The Clinical Features of Sarcoidosis: A Comprehensive Review.

Clinical reviews in allergy & immunology, 2015

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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