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Lung India Official publication of Indian Chest Society  
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Year : 1991  |  Volume : 9  |  Issue : 4  |  Page : 132-135

Temporal Evolution Of Sarcoidosis - A Case Report

Correspondence Address:
Vibha Nigale

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Source of Support: None, Conflict of Interest: None

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A 42 year old male presented with sicca syndrome and arthralgia. One year later cervical lymphadenopathy developed, which was diagnosed and treated as tuberculous lymphadenitis. After three months, skin nodules appeared but were mistaken for erythema nodosum secondary to tuberculosis. Inspite of eighteen months of antituberculous therapy patient progressed to develop dyspnoea and cough. At this stage examination revealed mucosal dryness, salivary and lacrymal gland enlargement, multiple non-tender, matted cervical nodes and numerous erythematous, indurated, non-tender, skin nodules and plaques. Chest skiagram showed hilar lymphadenopathy. Repeat skin and lymph node biopsies revealed scarcoid granulomas. Lung function tests showed moderate airflow obstruction. Cystic changes were noted on skiagram of hands. Dramatic improvement resulted on institution of steroid therapy. Xerosis, parotid enlargement and lymphadenopathy resolved whereas skin lesions healed with deep atrophic scarring.

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