title: Acute-onset sarcoidosis with polyarthralgia and hilar lymphadenopathy.
abstract: 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.
authors: Division of Rheumatology, Ohta-Nishinouchi Hospital, Koriyama, Japan. azsuzuki@fmu.ac.jp
authors: Eiji
authors: E
authors: Suzuki
authors: Takashi
authors: T
authors: Kanno
authors: Hiromasa
authors: H
authors: Ohira
mesh_terms: 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
chemical_list: D018501:Antirheumatic Agents; D011239:Prednisolone