Lofgren syndrome and peritoneal involvement by sarcoidosis: case report.
OBJECTIVE
An unusual case of a patient with Löfgren syndrome peritoneal involvement by sarcoidosis.


METHODS
A 36-year-old woman presented with Löfgren syndrome and an increase in liver enzyme levels. An abdominal CT scan showed multiple nodules on the peritoneum mimicking peritoneal carcinomatosis. Laparoscopy was conducted with biopsy of the peritoneal nodules.


RESULTS
Biopsy specimens from the peritoneum, liver, and bronchi showed noncaseating granulomas, and the search for tuberculosis was negative. Clinical and biological features resolved within 6 months, without therapy with steroids, while a thoracic CT scan as well as an abdominal CT scan showed no change.


CONCLUSIONS
To our knowledge, this is the first reported case of peritoneal sarcoidosis associated with Löfgren syndrome. A longer follow-up will, however, be required to assess the chronicity of the disease.
Bourdillon
Laure
L
Department of Internal Medicine, Hôtel Dieu, 69288 Lyon Cedex 02, France.
Lanier-Gachon
Emilie
E
Stankovic
Katia
K
Bancel
Brigitte
B
Lapras
Véronique
V
Broussolle
Christiane
C
Sève
Pascal
P
D000328:Adult; D001706:Biopsy; D004893:Erythema Nodosum / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006801:Humans; D010532:Peritoneal Diseases / Q000175:diagnosis / Q000209:etiology*; D010537:Peritoneum / Q000000981:diagnostic imaging / Q000473:pathology; D012507:Sarcoidosis / Q000150:complications* / Q000175:diagnosis; D014057:Tomography, X-Ray Computed