Acute-onset sarcoidosis with erythema nodosum and polyarthralgia (Löfgren's syndrome) in Japan: A case report and a review of the literature

Internal Medicine

Volumn 45, Issue 9, 2006, Pages 659-662

  Ohta, Hiromitsu ^a   Tazawa, Ryushi ^a   Nakamura, Atsushi ^a   Kimura, Yuichiro ^a   Maemondo, Makoto ^a   Kikuchi, Toshiaki ^a   Ebina, Masahito ^a   Nukiwa, Toshihiro ^a  

^a TOHOKU UNIVERSITY   (Japan)

Author keywords

Crythema nodosum; L fgren's syndrome; Polyarthritis; Sarcoidosis

Indexed keywords

DIPEPTIDYL CARBOXYPEPTIDASE; GALLIUM; NONSTEROID ANTIINFLAMMATORY AGENT; PREDNISOLONE;

ACUTE DISEASE; ADULT; ARTERIAL GAS; ARTHRALGIA; ARTICLE; BRONCHOSCOPY; CASE REPORT; CD4 CD8 RATIO; CLINICAL FEATURE; COMPUTER ASSISTED TOMOGRAPHY; DRUG DOSE REDUCTION; ELECTROCARDIOGRAPHY; ENZYME BLOOD LEVEL; ERYTHEMA NODOSUM; FAMILY HISTORY; FEMALE; GIANT CELL; GRANULOMA; HOLTER MONITORING; HUMAN; HYPOXEMIA; JAPAN; LOFGREN SYNDROME; LUNG BIOPSY; LUNG LAVAGE; LYMPHADENOPATHY; LYMPHOCYTE COUNT; PATIENT REFERRAL; PHYSICAL EXAMINATION; RHEUMATOID ARTHRITIS; SARCOIDOSIS; SKIN BIOPSY; THORAX RADIOGRAPHY; TREATMENT FAILURE; TREATMENT OUTCOME; TREATMENT WITHDRAWAL; TUBERCULIN TEST;

ADULT; ARTHRALGIA; ASIAN CONTINENTAL ANCESTRY GROUP; BRONCHOSCOPY; ERYTHEMA NODOSUM; FEMALE; GRANULOMA; HUMANS; LUNG DISEASES; LYMPHATIC DISEASES; RADIOGRAPHY, THORACIC; SARCOIDOSIS; SYNDROME;

EID: 33745071223     PISSN: 09182918     EISSN: 13497235     Source Type: Journal    
DOI: 10.2169/internalmedicine.45.1452     Document Type: Article

References (19)

1. Costabel U. Hunninghake GW. ATS/ERS/WASOG statement on sarcoidosis. Sarcoidosis Statement Committee. American Thoracic Society. European Respiratory Society. World Association for Sarcoidosis and Other Granulomatous Disorders. Eur Respir J 14: 735-737. 1999.
2. Löfgren S. Lundback H. The bilateral hilar lymphoma syndrome: a study of the relation to tuberculosis and sarcoidosis in 212 cases. Acta Med Scand 142: 265-273. 1952.
3. Löfgren S. Primary pulmonary sarcoidosis. I. Early signs and symptoms. Acta Med Scand 145: 424-431. 1953.
4. Mana J, Gomez-Vaquero C. Montero A, et al. Löfgren's syndrome revisited: a study of 186 patients. Am J Med 107: 240-245. 1999.
5. Iino K. Muta K. Sekiya K. Umemura T. Nishimura J. Nawata H. Löfgren's syndrome. acute sarcoidosis with polyarthralgia: a case report. Kyushu Ryumachi 10: 148-151. 1991 (in Japanese. Abstract in English).
6. Koseki Y. Terai C. Nakajima H. et al. A patient with acute sarcoidosis associated with fever. polyarthritis. and erythema nodosum: a typical case of Löfgren's syndrome. Ryumachi 38: 21-28. 1998 (in Japanese. Abstract in English).
7. Morikawa T. Konishi Y. Okumura M. Imanishi M. Tanaka S. A patient with sarecoidosis associated with edema of lover limbs and polyarthritis: a case of Löfgren's syndrome (conference minutes) Ryumachi 40: 558 2000 (Abstract in Japanese).
8. Higashimoto I. Arata SI. Niena K. A case of acute sarcoidosis with polyarthralgia and erythema nodosum: Löfgren's syndrome. Nihon Kokyuki Gakkai Zasshi 40: 679-682. 2002 (in Japanese, Abstract in English).
9. Niimi T. Sato S. Suguiura Y. et al. A case of sarcoidosis with rheumatic features (Löfgren's syndrome). Nihon Kokyuki Gakkai Zasshi 41: 207-210. 2003 (in Japanese. Abstract in English).
10. Oshima M. Maeda H. Furonaka O. Doi M. Nishizaka T. Kuwabara M. Sarcoidosis with multiple organ involvement emerging as Löfgren's syndrome. Intern Med 42: 534-537. 2003.
11. Ando M. Epidemiological study of sarscoidosis in Japan. Nippon Rinsho 52: 1433-1437. 1994 (in Japanese).
12. Pietinalho A. Ohmichi M. Hiraga Y. Lofroos AB, Selroos O. The mode of presentation of sarcoidosis in Finland and Hokkaido. Japan. A comparative analysis of 571 Finnish and 686 Japanese patients. Sarcoidosis Vase Diffuse Lung Dis 13: 159-166. 1996.
13. Caplan HI. Katz WA. Rubenstein M. Periarticular inflammation. bilateral hilar adenopathy and a sarcoid reaction. Arthritis Rheum 13: 101-111. 1970.
14. Torralba KD. Quismorio FP Jr. Sarcoid arthritis: a review of clinical features. pathology and therapy. Sarcoidosis Vase Diffuse Lung Dis 20: 95-103-2003.
15. Hedfors E. Lindstrom F. HLA-BS/DR3 in sarcoidosis. Correlation to acute onset disease with arthritis. Tissue Antigens 22: 2000-203. 1983.
16. Berlin M. Fogdell-Hahn A. Olerup O. Eklund A. Grunewald J. HLA-DR predicts the prognosis in Scandinavian patients with pulmonary sarcoidosis. Am J Respir Crit Care Med 156: 1601-1605. 1997.
17. Yamaguchi E. Kawakami Y. Genetic background of sarcoidosis-special reference to HLA. Nippon Rinsho 60: 1679-1687. 2002 (in Japanese).
18. Spagnolo P. Renzoni EA. Wells AU. et al. C-C chemokine receptor 2 and sarcoidosis:association with Löfgren's syndrome. Am J Respir Crit Care Med 168: 1162-1166. 2003.
19. Hizawa N. Yamaguchi E, Furuya K. Jinushi E. Ito A. Kawakami Y. The role of the C-C chemokine receptor 2 gene polymorphism V641 (CCR2-641) in sarcoidosis in a Japanese Population. Aim J Respir Crit Care Med 159: 2021-2023. 1999.