ARTHRALGIA IN A YOUNG PATIENT: PRESENTATION OF LOFGREN SYNDROME
DOI:
https://doi.org/10.55519/JAMC-01-8786Abstract
1Department of Medicine, 2Department of Orthopedics, Khyber Teaching Hospital, Peshawar-Pakistan Lofgren syndrome an acute form of sarcoidosis constitutes erythema nodosum, bilateral hilar adenopathy and arthralgia or arthritis. Here we present a case of a 28 years old young male patient who is a shopkeeper and farmer by profession admitted to inpatient department with chief complaints of bilateral painful nodules on his shins, low grade fever and pain multiple joints on both sides of the body. Suspicion of the Lofgren syndrome was made upon initial evaluation and patient was admitted to inpatient care facility for necessary comprehensive workup. Radiological findings were consistent with bilateral hilar lymphadenopathy and patient was diagnosed with Lofgren syndrome. Patient was started on non-steroidal inflammatory drugs (NSAIDs) with close observation for improvement in response to treatment. After one weak of treatment in hospital, patient was discharged home when his symptoms started to resolve.References
Oshima M, Maeda H, Furonaka O, Doi M, Nishizaka T, Kuwabara M. Sarcoidosis with multiple organ involvement emerging as Löfgren's syndrome. Intern Med 2003;42(6):534–7.
Jansen T, Geusens P. Sarcoidosis: joint, muscle and bone involvement. Eur Respir Monogr 2005;32:210.
Alar T, Gunes F, MuratlÊ A, Gedik IE, Tekeli Z, Ukinc K. Löfgren's syndrome: an acute variant of sarcoidosis diagnosed by mediastinoscopy. J Coll Physicians Surg Pak 2015;25(2):146–8.
Nunes H, Bouvry D, Soler P, Valeyre D. Sarcoidosis. Orphanet J Rare Dis 2007;19:2:46.
Byun CW, Yang SN, Yoon JS, Kim SH. Lofgren's Syndrome-Acute Onset Sarcoidosis and Polyarthralgia: A Case Report Ann Rehabil Med 2013;37(2):295–9.
Saltman AP, Kuriya B. Löfgren syndrome in acute sarcoidosis. CMAJ 2017;189(39):E1230.
Mañá J, Gómez-Vaquero C, Salazar A, Valverde J, Juanola X, Pujol R. Periarticular ankle sarcoidosis: a variant of Löfgren’s syndrome. J Rheumatol 1997;24(1):239.
Lofgren S, Lundback H. The bilateral hilar lymphoma syndrome; a study of the relation to tuberculosis and sarcoidosis in 212 cases. Acta Med Scand 1952;142:265–73.
Kumar G, Kumar N. All red is not always bacterial cellulitis: a case of Löfgren's syndrome. WMJ 2010;109(1):31–3.
García-Porrúa C, González-Gay MA, Vázquez-Caruncho M, López-Lazaro L, Lueiro M, Fernández ML, et al. Erythema nodosum: etiologic and predictive factors in a defined population. Arthritis Rheum 2000;43(3):584–92.
Ohta H, Tazawa R, Nakamura A, Kimura Y, Maemondo M, Kikuchi T, et al. Acute-onset sarcoidosis with erythema nodosum and polyarthralgia (Löfgren's syndrome) in Japan: a case report and a review of the literature. Intern Med 2006;45(9):659–62.
Published
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.
