This is the biggest problem with this disease and others that lack funding. There are no standardize testings to confirm diagnoses and no screenings. I bet there are so many more people out there with sarcoids and even died from it and never got diagnosed. Hopefully further studies will produce a more standardized testing for diagnoses of sarcoidosis. Right now the Kveim test if positive, a definitive diagnoses but if negative it doesn't mean you don't have sarcoidosis
This Wiki article does a really good job at explaining the pathology side look at the pictures titled Necrosis in granulomas
Also try this article The Kveim-Siltzbach Test
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