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2020, vol. 37, br. 1, str. 87-92
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Lofgrenov sindrom i zahvaćenost slezine - prikaz slučaja
Löfgren's syndrome with splenic involvement: A case report
aUniverzitet medicinskih nauka u Babolu, Zdravstveni istraživački institut, Istraživački centar za infektivne i tropske bolesti, Babol, Iran bUniverzitet medicinskih nauka u Kermanshahu, Bolnica Imam Reza, Klinički istraživačko-razvojni centar, Kermanshah, Iran
e-adresa: drbabazadeh.a@yahoo.com
Projekat: The authors thank the Department of Infectious diseases of Babol University of Medical sciences, Iran.
Sažetak
Lofgrenov sindrom je akutna forma sarkoidoze i karakteriše se pojavom povišene telesne temperature, eriteme nodozum, bilateralne hilarne limfadenopatije i poliartritisa. Ovaj sindrom je bolest koja spontano prolazi. U našu bolnicu, primljena je četrdesetpetogodišnja žena koja se žalila na povišenu telesnu temperaturu, zamućen vid i bolove u zglobovima. Snimak pluća bilateralno je pokazao mase u okolini hilusa. Kompjuterizovana tomografija visoke rezolucije grudnog koša ukazala je na brojne čvoriće u različitim segmentima pluća, kao i na bilateralnu hilarnu i paraezofagijalnu limfadenopatiju. Kompjuterizovana tomografija takođe je pokazala blagu splenomegaliju, sa brojnim čvorićima manje gustine u slezini, kao i akcesornu slezinu. Bolesnici je postavljena dijagnoza Lofgrenovog sindroma.
Abstract
Löfgren's syndrome is an acute form of sarcoidosis characterized by fever, erythema nodosum (EN), bilateral hilar lymphadenopathy (BHL), and polyarthritis. This syndrome is a self-limiting disease. A 45-year-old woman was admitted to our hospital complaining of fever, visual blurring, and arthralgia. A chest radiograph showed bilateral hilar mass lesions. High-resolution computed tomography (HRCT) scans of the chest revealed multiple nodules at different segments of the lung, bilateral hilar and paraesophageal lymphadenopathy. Also, abdominal and pelvic CT scan showed mild splenomegaly, with multiple hypodense nodules in the spleen and an accessory spleen. She was diagnosed with Löfgren's syndrome.
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