Acute-onset sarcoidosis with polyarthralgia and hilar lymphadenopathy.
A 33-year-old man was admitted to our hospital because of fever and arthralgia. Radiographic findings revealed bilateral hilar lymphadenopathy (BHL) and enlargement of lymph nodes of the mediastinum. Tissue from a mediastinum lymph node showed noncaseating granulomas. An acute form of sarcoidosis, Lofgren's syndrome, was diagnosed. Prednisolone was administered. Because this syndrome is rare in Japan, histopathological examination was necessary to diagnose and treat this patient.
Suzuki
Eiji
E
Division of Rheumatology, Ohta-Nishinouchi Hospital, Koriyama, Japan. azsuzuki@fmu.ac.jp
Kanno
Takashi
T
Ohira
Hiromasa
H
D000328:Adult; D018501:Antirheumatic Agents / Q000627:therapeutic use; D018771:Arthralgia / Q000150:complications*; D006801:Humans; D008206:Lymphatic Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D008297:Male; D008482:Mediastinum / Q000000981:diagnostic imaging; D011239:Prednisolone / Q000627:therapeutic use; D011877:Radionuclide Imaging; D012507:Sarcoidosis / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D013577:Syndrome; D014057:Tomography, X-Ray Computed
D018501:Antirheumatic Agents; D011239:Prednisolone