Vol.20 No.2

Case Report

Acute-onset sarcoidosis with polyarthralgia and hilar lymphadenopathy

Authors

Eiji Suzuki1, 2 , Takashi Kanno1 , Hiromasa Ohira2

  • Division of Rheumatology, Ohta-Nishinouchi Hospital, Koriyama, Japan
  • Department of Gastroenterology and Rheumatology, Fukushima Medical University School of Medicine, 1 Hikarigaoka, Fukushima 960-1295, Japan
Received:

16 September 2009

Accepted:

23 October 2009

Published online:

21 November 2009

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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.

Key words

Sarcoidosis - Lofgren’s syndrome - Hilar adenopathy - Noncaseating granuloma