title: Sarcoidosis with acute recurrent polyarthritis and hypercalcemia.
abstract: 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.
authors.affiliation: Department of Allergy and Rheumatology, Japanese Red Cross Medical Center, Tokyo.
authors.forename: Takeo
authors.initials: T
authors.lastname: Sato
authors.forename: Tsunehisa
authors.initials: T
authors.lastname: Tsuru
authors.forename: Kiyofumi
authors.initials: K
authors.lastname: Hagiwara
authors.forename: Kazuhisa
authors.initials: K
authors.lastname: Miyashita
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Matsuno
authors.forename: Atsuo
authors.initials: A
authors.lastname: Goto
authors.forename: Masaru
authors.initials: M
authors.lastname: Oritsu
authors.forename: Teruhiko
authors.initials: T
authors.lastname: Hamanaka
authors.forename: Osamu
authors.initials: O
authors.lastname: Akiyama
mesh_terms: 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
chemical_list: D005710:Gallium Radioisotopes; D005938:Glucocorticoids; D011239:Prednisolone; D007703:Peptidyl-Dipeptidase A