Dr. Manish Aggarwal, Senior Pulmonologist & Interventional Chest Specialist in Pitampura, Delhi, provides specialized evaluation and management for sarcoidosis and complex granulomatous lung diseases that often resemble tuberculosis (TB) in clinical presentation and imaging findings.
Sarcoidosis is an inflammatory disease that can affect the lungs, lymph nodes, skin, eyes, and other organs, commonly presenting with cough, breathlessness, fatigue, fever, chest discomfort, or enlarged chest lymph nodes. In India, differentiating sarcoidosis from tuberculosis is especially important because both conditions may appear similar on CT scans, PET imaging, bronchoscopy findings, and even tissue pathology.
The clinic focuses on accurate diagnosis using advanced bronchoscopic and interventional pulmonology techniques to avoid misdiagnosis and ensure appropriate treatment planning.
Advanced diagnostic procedures help identify the exact cause of lung disease, enlarged lymph nodes, persistent respiratory symptoms, and suspected chest malignancies with greater precision and minimal invasiveness.
These minimally invasive procedures help obtain tissue diagnosis from enlarged lymph nodes and lung tissue while significantly improving diagnostic accuracy. In many patients, they reduce the need for more invasive surgical biopsies and allow earlier initiation of appropriate treatment.
The clinic has special expertise in evaluating patients where sarcoidosis, TB, and other granulomatous lung diseases overlap clinically or radiologically.
Treatment is individualized according to disease severity, organ involvement, symptoms, and lung function status. While many patients respond well to corticosteroid therapy, newer steroid-sparing and targeted immunomodulatory treatments are now available for selected patients with progressive or difficult sarcoidosis requiring long-term disease control.
Specialized diagnostic and management services for sarcoidosis, granulomatous lung disease, and EBUS-guided tissue sampling.
The clinic emphasizes accurate diagnosis, evidence-based therapy, avoidance of unnecessary anti-tubercular treatment, and long-term multidisciplinary respiratory care.
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Find answers to common questions about sarcoidosis, granulomatous lung disease, EBUS-guided biopsy, and treatment planning.
Sarcoidosis is an inflammatory disease that can form granulomas in the lungs, lymph nodes, skin, eyes, and other organs. It often requires specialist evaluation to confirm the diagnosis and assess organ involvement.
In India, sarcoidosis and tuberculosis can look similar on CT scans, PET imaging, bronchoscopy findings, and even tissue pathology, so careful clinical correlation and tissue diagnosis are important.
Diagnosis may include EBUS-guided TBNA, endobronchial biopsy, transbronchial lung biopsy, bronchoalveolar lavage, HRCT review, pulmonary function testing, and multidisciplinary clinical correlation.
Yes. The clinic focuses on accurate diagnosis so patients with sarcoidosis or other granulomatous lung disease are not misdiagnosed as tuberculosis and exposed to unnecessary treatment.
Common symptoms include cough, breathlessness, fatigue, fever, chest discomfort, enlarged chest lymph nodes, and in some cases skin, eye, or other organ involvement.
Patients with persistent enlarged mediastinal lymph nodes, unexplained granulomatous lung disease, sarcoidosis mimicking tuberculosis, abnormal CT chest findings, or difficult-to-diagnose respiratory symptoms may benefit from EBUS-guided evaluation.
We are available to answer queries, schedule urgent EBUS sessions or arrange Sleep diagnostic devices.