Granulomas can develop anywhere in the body, but they commonly affect the lungs, skin, lymph nodes, and eyes. In many cases, granulomas go away on their own after 2 to 3 years. Chloroquine selleck Lexapro and plaquenil Is hydroxychloroquine immunosuppressant Hydroxychloroquine Plaquenil may be helpful for skin lesions and elevated blood-calcium levels. Tumor necrosis factor-alpha TNF-alpha inhibitors. These medications are commonly used to treat the inflammation associated with rheumatoid arthritis. Elevated 1, 25-dihydroxyvitamin D levels are associated with protracted treatment in sarcoidosis. In one study, serum 1, 25-dihydroxyvitamin D levels were associated with patients requiring repeated regimens of systemic immunosuppressive therapy or longer than 1 year of therapy. Blood tests can be used to detect high levels of these substances. However, other conditions also cause elevated levels of vitamin D and angiotensin-converting enzymes, so these tests cannot be used to diagnose sarcoidosis. Blood tests can also be used to check blood levels and to look for evidence of liver or kidney damage. Over time, this can affect the organ's normal structure and function and lead to permanent scarring (fibrosis). The condition is thought to be associated with both a genetic predisposition and the immune system's overreaction to viruses or bacteria, or an environmental trigger, such as an allergen or chemical. Available online at https://my.clevelandclinic.org/health/diseases/11863-sarcoidosis-overview. In some cases, however, granulomas can grow and clump together in an organ, causing inflammation and damage. Sarcoidosis hydroxychloroquine blood levels Sarcoidosis Awareness Month, Sarcoidosis Workup Laboratory Studies, Imaging Studies. Plaquenil usual dosage Blood tests, including complete blood counts, to check hormone levels and to test for other conditions that may cause sarcoidosis Bronchoscopy, which may include rinsing an area of the lung to get cells or using a needle to take cells from the lymph nodes in the chest Sarcoidosis National Heart, Lung, and Blood Institute.. Sarcoidosis - Causes, Stage, Signs, Symptoms, Diagnosis.. UpToDate. Hydroxychloroquine Plaquenil may be helpful for skin lesions and elevated blood-calcium levels. Tumor necrosis factor-alpha TNF-alpha inhibitors. These medications are commonly used to treat the inflammation associated with rheumatoid arthritis. They can also be helpful in treating sarcoidosis that hasn't responded to other treatments. According to the National Heart Lung and Blood Institute, more than half of those affected will go into remission within 3 years of diagnosis, and two-thirds will be in remission within 10 years. Most people with sarcoidosis will not experience long-term health effects, but about one-third will have some degree of organ damage. Hydroxychloroquine Plaquenil is a drug that is classified as an anti-malarial drug. Plaquenil is prescribed for the treatment or prevention of malaria. It is also prescribed for the treatment of rheumatoid arthritis, lupus, and the side effects of lupus such as hair loss, joint pain, and more.