Aims : to discuss new insights into the management of complicated sarcoidosis; to discuss the diagnosis and treatment of fibrotic sarcoidosis, one of the most challenging and unmet needs, in depth; to explore the latest insights into the management of complications and co-morbid conditions such as pulmonary hypertension and infections (mainly fungal); to discuss other important extrapulmonary organ involvements such as those of the heart and brain, which frequently confront pulmonologists.