[Heerfordt's syndrome remitting without corticosteroid therapy].
A 25-year-old woman presented with low-grade fever, uveitis, and bilateral swelling of the parotid glands. Her older sister had a history of sarcoidosis. A chest X-ray film showed bilateral hilar lymphadenopathy. The low-grade fever persisted after admission. Ga scintigraphy showed abnormal uptake in the parotid glands and hilar lymph nodes bilaterally. Sarcoidosis was diagnosed histologically after epithelioid cell granulomas without caseous necrosis were found in a specimen obtained by transbronchial biopsy. Heerfordt's syndrome was the final diagnosis. Six days after admission, left facial and left trigeminal nerve paralysis developed. The symptoms remitted without steroid therapy and, as of eight months after discharge there had been no evidence of recurrence.
Itoh
T
T
Department of Internal Medicine, Municipal Hospital, Osaka, Japan.
Tanaka
R
R
Matsushita
H
H
D000328:Adult; D005260:Female; D006801:Humans; D012075:Remission, Spontaneous; D014608:Uveoparotid Fever / Q000175:diagnosis / Q000235:genetics