Most clinicians agree that corticosteroids are the first choice for treatment for symptomatic pulmonary sarcoidosis [1,2]. Prednisone is one of the most commonly used corticosteroids, with the usual initial dose being 20–40 mg daily [3,4]. However, the specific dose and rationale for such a dose is unclear. Early studies of corticosteroids were associated with quite variable doses and duration of therapy. In some studies, 60 mg for one month and then slowly tapered for more than a year  while others gave 15 mg for three months total .