Indication of steroids in Sarcoidosis

 1.Threatened Organ failure -severe ocular/neurologic/cardiac  disease 

2.Progressive or persistent pulmonary disease 

3.Uveitis unresponsive to topical corticosteroids 

4.Persistent Hypercalcemia/ renal or hepatic dysfunction 

5.Palpable splenomegaly or hypersplenism

6.Severe myopathy 

7.Disfiguring skin disease 

8.Painful lymphadenopathy 

9.Severe fatigue and weight loss