A Case of Acute Sarcoidosis with Fever and Polyarthralgia

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  • Onodera Katsuhiro
    Department of Respiratory Medicine, Tohoku University Graduate School of Medicine
  • Tamada Tsutomu
    Department of Respiratory Medicine, Tohoku University Graduate School of Medicine
  • Muramatsu Soshi
    Department of Respiratory Medicine, Tohoku University Graduate School of Medicine
  • Murakami Koji
    Department of Respiratory Medicine, Tohoku University Graduate School of Medicine
  • Nara Masayuki
    Department of Respiratory Medicine, Tohoku University Graduate School of Medicine
  • Komatsu Riyo
    Department of Respiratory Medicine, Tohoku University Graduate School of Medicine
  • Kobayashi Makoto
    Department of Respiratory Medicine, Tohoku University Graduate School of Medicine
  • Yamada Mitsuhiro
    Department of Respiratory Medicine, Tohoku University Graduate School of Medicine
  • Sugiura Hisatoshi
    Department of Respiratory Medicine, Tohoku University Graduate School of Medicine
  • Ichinose Masakazu
    Department of Respiratory Medicine, Tohoku University Graduate School of Medicine

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  • 発熱，多関節痛を伴った急性サルコイドーシスの1例
  • 今月の症例 発熱,多関節痛を伴った急性サルコイドーシスの1例
  • コンゲツ ノ ショウレイ ハツネツ,タカンセツツウ オ トモナッタ キュウセイ サルコイドーシス ノ 1レイ

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<p>38歳，女性．多関節痛を自覚後，急速にぶどう膜炎，発熱，咳嗽，体重減少，肺門リンパ節腫脹などを認め，気管支鏡検査，ガリウムシンチなどでサルコイドーシスと診断した．急性サルコイドーシスのLöfgren症候群のうち結節性紅斑を伴わないvariant formが考えられた．全身ステロイド治療を開始し症状は速やかに改善した．本症候群は本邦で稀であり，全身症状の強いサルコイドーシスでは鑑別に挙げる必要がある．</p>

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