Annals of Rehabilitation Medicine

"Sarcoidosis"

Case Reports

Lofgren's Syndrome-Acute Onset Sarcoidosis and Polyarthralgia: A Case Report: Chan Woo Byun, Seung Nam Yang, Joon Shik Yoon, Se Hwa Kim; Ann Rehabil Med 2013;37(2):295-299. Published online April 30, 2013; DOI: https://doi.org/10.5535/arm.2013.37.2.295

Abstract
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Lofgren's syndrome is an acute form of sarcoidosis characterized by erythema nodosum, bilateral hilar lymphadenopathy (BHL), and polyarthralgia or polyarthritis. This syndrome is common among Caucasians but rare in the Korean population. A 44-year-old woman was admitted to our hospital complaining of polyarthralgia. A chest radiograph revealed BHL and nodular shadows. Angiotensin-converting enzyme levels were within the normal range. Tissue biopsy from a mediastinum lymph node showed noncaseating granulomas. We diagnosed her with Lofgren's syndrome, an acute form of sarcoidosis.

Citations

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Acute arthritis caused by sarcoidosis
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Frontiers in Medicine.2020;[Epub] CrossRef
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FMC - Formación Médica Continuada en Atención Primaria.2016; 23(4): e73. CrossRef
ProKaSaRe Study Protocol: A Prospective Multicenter Study of Pulmonary Rehabilitation of Patients With Sarcoidosis
Heidrun Lingner, Anika Großhennig, Kathrin Flunkert, Heike Buhr-Schinner, Rolf Heitmann, Ulrich Tönnesmann, Jochen van der Meyden, Konrad Schultz
JMIR Research Protocols.2015; 4(4): e134. CrossRef
Identifying Novel Biomarkers in Sarcoidosis Using Genome-Based Approaches
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Clinics in Chest Medicine.2015; 36(4): 621. CrossRef

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Intramedullary Sarcoidosis of Cervical Spinal Cord Suspected as Intramedullary Tumor: A case report.: Kim, Se Hwan , Seo, Kyung Mook , Kim, Don Kyu , Kang, Si Hyun; J Korean Acad Rehabil Med 2010;34(3):372-375.

Abstract
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Sarcoidosis is an idiopathic multisystem disorder that usually develops in the respiratory system, but rarely in spinal cord. A 54-year-old female patient was presented with progressive right side weakness and paresthesia below C4 level dermatome which began 3 months ago. Cervical MRI findings showed T2 weighted high signal nodular lesion with surrounding edema at the C4 and C5 vertebra level, suggestive of intramedullary spinal cord tumor. She went through the resection of the part of the mass. The result of biopsy revelaed chronic granulomatous inflammation without caseous necrosis. Despite of tuberculosis medication and proper rehabilitation program for 2 weeks, there was no improvement of symptoms with exacerbated findings on cervical MRI and increased serum angiotensin converting enzyme level. We concerned about the cervical intramedullary sarcoidosis at this point, we treated her with steroid. After 3 months, her MRI findings were improved without improvement in her symptoms. (J Korean Acad Rehab Med 2010; 34: 372-375)