CXR Case 030

A 28 year old female presents with painful lesions on her shins and malaise

click images to enlarge


Describe and interpret this CXR and clinical image


IMAGE INTERPRETATION

CXR Interpretation:
There is bilateral hilar adenopathy.
* There are a few subtle reticulonodular shadows within the lung parenchyma.

Clinical Image:
This is erythema nodosum


CLINICAL CORRELATION

This is sarcoidosis, specifically Löfgren syndrome.

The lung parenchyma changes are subtle and would require CT to confirm.


CLINICAL PEARLS

Löfgren syndrome is generally a more mild acute presentation of sarcoidosis, with fever, bilateral hilar adenopathy, erythema nodosum and arthralgia.

It is far more common in Caucasians and generally has a good prognosis with 80-90% resolving over 1-2 years


TOP 150 CXR SERIES



Prof Fraser Brims Curtin Medical School, acute and respiratory medicine specialist, immediate care in sport doc, ex-Royal Navy, academic| Top 100 CXR | Google Scholar |

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