title: Reactivation of Old Scars in an Elderly Man Revealing Löfgren's Syndrome.
abstract: Here, we report the case of a 55-year-old man with reactivation of old cutaneous scars associated with a febrile illness, episcleritis, polyarthralgias, erythema nodosum and hilar adenopathy. High-resolution computed tomography (HRCT) revealed right paratracheal, bilateral hilar, and subcarinal lymphadenopathy without any nodular densities in both lung fields. A scar biopsy revealed multiple noncaseating granulomas and confirmed the diagnosis of sarcoidosis. A short course of oral steroids led to regression of systemic symptoms, and the scars returned to baseline size. This patient represented a rare case of simultaneous Löfgren's syndrome and scar sarcoidosis.
authors.affiliation: Consultant Clinical Immunologist & Rheumatologist, Vizag Rheumatology & Immunology Centre, Visakhapatnam 530002, India.
authors.forename: Vishnu
authors.initials: V
authors.lastname: Vardhan Reddy Munagala
authors.forename: Vaishali
authors.initials: V
authors.lastname: Tomar
authors.forename: Amita
authors.initials: A
authors.lastname: Aggarwal