Sarcoidosis with acute recurrent polyarthritis and hypercalcemia.
A 45-year-old woman had bleary eyes and recurrent episodes of fever and arthritis in the knees and ankles. The patient had anterior uveitis, negative findings of the tuberculin test, and an increased serum lysozyme level, but bilateral hilar lymphadenopathy (BHL) was absent. During the course of her disease, the serum calcium and angiotensin-converting enzyme levels gradually increased to above the normal level, and the patient was clinically diagnosed as having sarcoidosis. The clinical features of arthritis were typical of those of Löfgrens syndrome although BHL and erythema nodosum were absent. The patient was successfully treated with 15 mg/day of prednisolone.
Sato
Takeo
T
Department of Allergy and Rheumatology, Japanese Red Cross Medical Center, Tokyo.
Tsuru
Tsunehisa
T
Hagiwara
Kiyofumi
K
Miyashita
Kazuhisa
K
Matsuno
Hiroaki
H
Goto
Atsuo
A
Oritsu
Masaru
M
Hamanaka
Teruhiko
T
Akiyama
Osamu
O
D000208:Acute Disease; D001168:Arthritis / Q000150:complications* / Q000175:diagnosis; D004244:Dizziness / Q000209:etiology; D005260:Female; D005710:Gallium Radioisotopes; D005938:Glucocorticoids / Q000008:administration & dosage; D006801:Humans; D006934:Hypercalcemia / Q000150:complications* / Q000188:drug therapy; D007498:Iris / Q000473:pathology; D007902:Length of Stay; D008875:Middle Aged; D007703:Peptidyl-Dipeptidase A / Q000097:blood; D011239:Prednisolone / Q000008:administration & dosage; D012008:Recurrence; D017565:Sarcoidosis, Pulmonary / Q000150:complications* / Q000175:diagnosis; D014606:Uveitis, Anterior / Q000150:complications
D005710:Gallium Radioisotopes; D005938:Glucocorticoids; D011239:Prednisolone; D007703:Peptidyl-Dipeptidase A