Wednesday 16 October 2013

Lofgren's Syndrome- a quick overview


Lofgren’s Syndrome is characterized by the triad of:
  • Acute polyarthritis
  •  Erythema nodosum
  • Hilar adenopathy

This condition is generally self-limiting, however, certain features persist for some time. The polyarthritis and arthralgias may persist for up to 2 years and these symptoms may reoccur. The erythema nodosum typically resolves in a few months and the hilar adenopathy generally resolves over time. Note that parenchymal infiltrates and fever may be present.
In terms of investigations, approximately 15% of patients with this syndrome have elevation of their ACE serum levels. 
Interesting Article: 
Johan Grunewald and Anders Eklund "Löfgren's Syndrome", American Journal of Respiratory and Critical Care Medicine, Vol. 179, No. 4 (2009), pp. 307-312.

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