Criteria for the diagnosis of late-onset sarcoidosis:
(1) The patient has clinical sarcoidosis.
(2) The onset of the disease is >= 65 years of age.
(3) The patient has not been diagnosed with sarcoidosis in the past.
(4) A biopsy shows non-caseating granulomas OR the patient has Lofgren's syndrome.
(5) No other diagnosis can explain the findings better.
Late-onset sarcoidosis is more common in women than men.
An accessory salivary gland is a convenient site to biopsy.
A patient with late-onset sarcoidosis may show:
(1) asthenia
(2) uveitis
(3) specific skin lesions
A patient with late-onset sarcoidosis is less likely than a younger patient to show:
(1) erythema nodosum
(2) asymptomatic chest X-ray findings