Vol. 20 No. 1 (2026): Revista Reumatología al Día
Reportes de Casos Clínicos

Löfgren’s syndrome as the initial presentation of sarcoidosis

Santiago Andrés Guzmán García
Hospital Clínica San Agustín. Loja, Ecuador.
Erika Antonia Jiménez Loaiza
Estudiante, Universidad Técnica Particular de Loja. Loja, Ecuador.
David Alejandro Castro Valle
Estudiante, Universidad Técnica Particular de Loja. Loja, Ecuador.
Esteban Rodríguez Jaramillo
Radiólogo. Hospital Clínica San Agustín. Loja, Ecuador.
Andy Paul Vite Valverde
Neumólogo – Internista. Hospital Clínica San Agustín. Loja, Ecuador.

Published 2026-04-14

Keywords

  • Erythema nodosum,
  • septal panniculitis,
  • sarcoidosis,
  • Löfgren’s syndrome,
  • hypersensitivity,
  • hilar lymphadenopathy,
  • upper respiratory tract infection
  • ...More
    Less

How to Cite

Guzmán García, S. A., Jiménez Loaiza, E. A., Castro Valle, D. A., Rodríguez Jaramillo, E., & Vite Valverde, A. P. (2026). Löfgren’s syndrome as the initial presentation of sarcoidosis. Reumatología Al Día, 20(1), 6. https://doi.org/10.62484/rad.v20i1.12604

Abstract

This case describes a patient with erythema nodosum (EN), accompanied by asymmetric oligoarthritis of the lower extremities, and bilateral hilar lymphadenopathy. It highlights the importance of recognizing the clinical triad of Löfgren's syndrome, identifying early radiologic findings, and adopting a comprehensive approach to ensure a favorable prognosis. The diagnosis is primarily based on clinical and radiological suspicion when the classic triad is present, although histopathological confirmation may be required in selected cases.

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