This is just to make folks aware of one of several signs of the onset of Sarcoidosis which I don't find discussed very often. It is how I first learned of my condition at age 28 more than 40 years ago. The first indication for me that something new was going on was the appearance of erythemanodosum. This takes the form of skin lesions which are often raised, bruise colored and tender. They can appear most anywhere but more often develop on the inner shin bones, forearms etc. They may start one at a time but then develop in multiples and are frequently bilateral and symetrical meaning they will appear in the same location on both arms or legs. They persist, unlike bruises which fade, and are eventually accompanied by further and widespread joint aches and pains. When left unchecked, you might even develop a fever. Erythemanodosum is not just an indicator of Sarcoidosis but also of other auto-immune conditions such as lupus. It's important to find the source of this "allergic" reaction. These tender sore spots are your body telling you of the presence of something foreign, in this case sarcoid. It is essentially an allergic reaction to the sarcoidosis. Your doctor can explain this more. Treatment with prednisone worked miracles for me and brought relief of the joint pains in a matter of hours. A longer course is needed to treat the periods of Sarcoidosis activity which the erythemanodosum indicates. It is important to note that Sarcoidosis is often a self limiting condition and in many people the activity "burns itself out" in a matter of a few years. With others, and especially when left untreated during active periods, it can and often does spread to various organs. That is why it is not a condition to be neglected but, rather one to be followed diligentlly and treated as needed to retard further damage throughout your lifetime. General body health, exercise and conditioning are a must. Smoking, stress and poor diet are absolutely out. Life can continue somewhat normally if you put up a good and sensible fight. I'm 68 and counting. Hang in there and take control.
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