Case Reports in Rheumatology (Jan 2013)

Reactivation of Old Scars in an Elderly Man Revealing Löfgren's Syndrome

  • Vishnu Vardhan Reddy Munagala,
  • Vaishali Tomar,
  • Amita Aggarwal

DOI
https://doi.org/10.1155/2013/736143
Journal volume & issue
Vol. 2013

Abstract

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Here, we report the case of a 55-year-old man with reactivation of old cutaneous scars associated with a febrile illness, episcleritis, polyarthralgias, erythema nodosum and hilar adenopathy. High-resolution computed tomography (HRCT) revealed right paratracheal, bilateral hilar, and subcarinal lymphadenopathy without any nodular densities in both lung fields. A scar biopsy revealed multiple noncaseating granulomas and confirmed the diagnosis of sarcoidosis. A short course of oral steroids led to regression of systemic symptoms, and the scars returned to baseline size. This patient represented a rare case of simultaneous Löfgren’s syndrome and scar sarcoidosis.