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

Abstract EN

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.