Document Detail

Sarcoidosis with multiple organ involvement emerging as Löfgren's syndrome.
MedLine Citation:
PMID:  12857056     Owner:  NLM     Status:  MEDLINE    
A 52-year-old woman was admitted because of high-grade remittent fever, erythema nodosum, and arthritis which had been lasting two months. Antibiotics did not improve her condition. A chest CT scan examination revealed bilateral hilar and mediastinal adenopathy and multiple nodular opacities in the bilateral lungs. The wedge biopsy of the right lower lobe using video-assisted thoracoscopy presented the histological findings of sarcoidosis. Finally, this case fulfilled the criteria of Löfgren's syndrome. Due to the uncovered cardiac involvement, the systemic glucocorticoid therapy had to be initiated. This case suggests that atypical forms of sarcoidosis should be kept in mind as well, when facing cases with unknown fever.
Miki Oshima; Hiroyuki Maeda; Osamu Furonaka; Masao Doi; Takashi Nishizaka; Masao Kuwabara
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  42     ISSN:  0918-2918     ISO Abbreviation:  Intern. Med.     Publication Date:  2003 Jun 
Date Detail:
Created Date:  2003-07-14     Completed Date:  2003-10-23     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  534-7     Citation Subset:  IM    
Department of Respiratory Medicine and Rheumatology, Hiroshima Prefectural Hospital, 1-5-54 Ujina-kanda, Minami-ku, Hiroshima 734-8530.
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MeSH Terms
Arthritis / complications,  diagnosis*
Biopsy, Needle
Erythema Nodosum / complications,  diagnosis*
Fever / complications,  diagnosis*
Follow-Up Studies
Middle Aged
Risk Assessment
Sarcoidosis, Pulmonary / complications,  diagnosis*
Severity of Illness Index
Sweet Syndrome
Thoracoscopy / methods
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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