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Case Reports in Rheumatology
Volume 2014 (2014), Article ID 747698, 3 pages
http://dx.doi.org/10.1155/2014/747698
Case Report

Coexistence of Ankylosing Spondylitis and Löfgren’s Syndrome

1Department of Rheumatology, Faculty of Medicine, Sifa University, 35100 Bornova, Izmir, Turkey
2Department of Chest Diseases, Faculty of Medicine, Sifa University, 35100 Bornova, Izmir, Turkey
3Department of Pathology, Faculty of Medicine, Sifa University, 35100 Bornova, Izmir, Turkey
4Department of Orthopedics, Faculty of Medicine, Sifa University, 35100 Bornova, Izmir, Turkey

Received 3 January 2014; Accepted 11 February 2014; Published 11 March 2014

Academic Editors: S. Koarada and M. Soy

Copyright © 2014 Senol Kobak 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.

Abstract

A 46-year-old male patient diagnosed with ankylosing spondylitis presented to our polyclinic with complaints of pain, swelling, and limitation in joint mobility in both ankles and erythema nodosum skin lesions in both pretibial sites. The sacroiliac joint graphy and the MRI taken revealed active and chronic sacroiliitis. On the thorax CT, multiple mediastinal and hilar lymphadenopathies were reported. Mediastinoscopic excisional lymph node biopsy was taken and noncalcified granulomatous structures, lymphocytes, and histiocytes were determined on histopathological examination. The patients were diagnosed with ankylosing spondylitis, sarcoidosis, and Löfgren’s syndrome. NSAIDs, sulfasalazine, and low dose corticosteroid were started. Significant regression was seen in the patient’s subjective and laboratory assessments.