Typical Presentation of a Rare Variant for Sarcoidosis

Abstract

Löfgren’s syndrome is a form of acute presentation of sarcoidosis that occurs in up to half of individuals with this disease. Its diagnosis is more frequent in Caucasian women up to 35 years old. It is characterized by the triad: knotty erythema, bilateral hilar lymphadenopathies and polyarthralgias.
Nodular sarcoidosis is a rare variant of sarcoidosis whose pattern, by mimicking other pathologies, delays the diagnosis of sarcoidosis.
We describe the case of a Caucasian woman, 30 years old, who went to the Emergency Department for edema of the lower limbs and arthralgias with six days of evolution. Analytically with increased inflammatory parameters, sedimentation speed and anemia. Chest radiography with enlargement of the hiluses. Computed tomography of the chest showed several mediastinal, hilar and pulmonary nodules.
We present the diagnostic march of a rare variant of sarcoidosis with a typical clinical presentation.