PDF(Pubmed)
Abstract：
Lofgren syndrome is a clinically distinct phenotype of sarcoidosis. It is characterized by the triad of bilateral hilar lymphadenopathy, arthritis (usually the ankles), and fever. We present the case of a 31-year-old male patient who presented with fever and edema in both lower limbs, with palpation of subcutaneous nodules. A chest contrast-enhanced computerized axial tomography (CECT) scan revealed perihilar and mediastinal lymphadenopathy. In making the diagnosis, tuberculosis and lymphoma were both ruled out. A mediastinoscopy confirmed Lofgren syndrome. In medicine, a good differential diagnosis is important, as it will help inform the best treatment for the patient.
摘要：
Lofgren综合征是结节病的临床独特表型。它的特点是双侧肺门淋巴结病的三联征，关节炎（通常是脚踝），和发烧。我们介绍了一名31岁的男性患者，他表现为双下肢发烧和水肿，触诊皮下结节。胸部对比增强的计算机轴向断层扫描（CECT）扫描显示肺门周围和纵隔淋巴结肿大。在做出诊断时，结核和淋巴瘤均被排除.纵隔镜检查证实了Lofgren综合征。在医学上,良好的鉴别诊断很重要,因为这将有助于为患者提供最佳治疗方法。
