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date: 09 July 2020

Sarcoidosis 228

Known diagnosis of sarcoid 228

Sarcoidosis is a multisystem inflammatory disorder of unknown cause. It is a relatively rare condition (UK incidence 5–10 in 100 000) and so it is unusual for it to present in the acute medical setting.

Acute sarcoid, previously undiagnosed, may present as Löfgren's syndrome, a combination of erythema nodosum, bilateral hilar lymphadenopathy on the CXR, fever, and arthralgia. This requires no specific treatment (other than simple analgesics or NSAIDs for arthralgia/pain from erythema nodosum) and has an excellent prognosis; the majority will resolve completely within 1–2 years....

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