Treated with steroids and non steroidal therapy. Most patients ( 75%) require only symptomatic therapy with NSAIDs. Approximately 10% of patients need treatment for extrapulmonary disease, while 15% of patients require treatment for persistent pulmonary disease. Steroids are prdnesolone 1mg/kg tapered over several weeks. Most patients who require long-term steroids can be treated using 10-15 mg of prednisone every other day. Inhaled steroids also useful to improve PAT. Non steroidal therapy like 1.chloroquine 2.hydroxy chloroquine 3.cyophosphamide 4.azathiprime 5.methotrexate 6.chlorambucil 7 infliximab 8.cycloslorine 9.thalidomide There is chance of acute flare of lung sarcoidosis, please consult your physician immediately.