A 74-Year-Old Man With Dyspnea

Summary: A sarcoidosis associated pleural effusion (SAPE) is a pleural effusion caused by active granulomatous inflammation from sarcoidosis. SAPE commonly occurs at the initial presentation of sarcoidosis or within the first year, with dyspnea being the most common presenting symptom. Clinical features and pleural fluid analysis are essential for diagnosing SAPE. Corticosteroids are the preferred treatment and have rapid effectiveness, with a low rate of recurrence.