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Case Reports in Rheumatology
Volume 2013 (2013), Article ID 736143, 3 pages
Case Report

Reactivation of Old Scars in an Elderly Man Revealing Löfgren's Syndrome

1Consultant Clinical Immunologist & Rheumatologist, Vizag Rheumatology & Immunology Centre, Visakhapatnam 530002, India
2Consultant Radiologist, Vijaya Medical Centre, Visakhapatnam 530002, India
3Department of Clinical Immunology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226 014, India

Received 10 January 2013; Accepted 30 January 2013

Academic Editors: D. R. Alpert, J. Mikdashi, and M. Salazar-Paramo

Copyright © 2013 Vishnu Vardhan Reddy Munagala et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Here, we report the case of a 55-year-old man with reactivation of old cutaneous scars associated with a febrile illness, episcleritis, polyarthralgias, erythema nodosum and hilar adenopathy. High-resolution computed tomography (HRCT) revealed right paratracheal, bilateral hilar, and subcarinal lymphadenopathy without any nodular densities in both lung fields. A scar biopsy revealed multiple noncaseating granulomas and confirmed the diagnosis of sarcoidosis. A short course of oral steroids led to regression of systemic symptoms, and the scars returned to baseline size. This patient represented a rare case of simultaneous Löfgren’s syndrome and scar sarcoidosis.