[Late recurrences of spontaneously resolved mediastinal-pulmonary sarcoidosis].
Five cases of recurrent thoracic sarcoidosis which happened 5.5 years on the average after spontaneous resolution of the disease are reported. Initially, these patients were characterized by the frequency of the presence of a Löfgren's syndrome and the absence of extrathoracic sarcoid localizations. Recurrence of sarcoidosis was potentially severe essentially because of extrathoracic localization which needed oral corticosteroid treatment in 2 patients. Because recurrence of sarcoidosis is rarely observed, the diagnosis should be, in the absence of erythema nodosum, confirmed histologically in order to exclude a lymphoma or one of the various etiologies of diffuse interstitial lung disease. A sustained and regular surveillance of sarcoid patients after spontaneous resolution, particularly those with a Löfgren's syndrome, is suggested.
Tazi
A
A
Service de Pneumologie, Hôpital Avicenne, Bobigny.
Desmazes-Dufeu
N
N
Bozzolo
B
B
Carvaillo
D
D
Battesti
J P
JP
D000284:Administration, Oral; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D000359:Aftercare; D001706:Biopsy; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008477:Mediastinal Diseases / Q000188:drug therapy / Q000473:pathology*; D008875:Middle Aged; D012008:Recurrence; D012075:Remission, Spontaneous; D012507:Sarcoidosis / Q000145:classification / Q000175:diagnosis* / Q000188:drug therapy / Q000453:epidemiology; D017565:Sarcoidosis, Pulmonary / Q000145:classification / Q000175:diagnosis* / Q000188:drug therapy / Q000453:epidemiology; D012720:Severity of Illness Index
D000305:Adrenal Cortex Hormones
Récidives à distance de sarcoïdose médiastino-pulmonaire spontanément résolutive.