MRCP2-4483

A 29-year-old man presents to the acute medical team after being referred by A&E. He is a Swedish PhD student studying at the local university. He reports a 6-week history of fevers and a non-productive cough. He also mentions a reduction in exercise tolerance and pains in his knees, ankles, and wrists. He has noticed some painful red swellings on his legs, which he had experienced several years ago but resolved without medical treatment. He denies any bowel symptoms or weight loss but admits to having bilateral tender red nodules on his shins. On examination, he is afebrile and cardiovascularly stable. His blood results show elevated platelets and non-specific inflammation. His chest x-ray and CT chest reveal bilateral hilar lymphadenopathy with small pulmonary infiltrates. A bronchoscopy is normal, and transbronchial biopsies of the hilar lymph nodes show non-caseating granulomas. What is the most appropriate treatment for this patient?