Female patient with bilateral hilar lymphadenopathy and joint pain. ACE levels are elevated. The diagnosis in this patient is
Correct Answer: Sarcoidosis
Description: Sarcoidosis is a multisystem granulomatous disorder of unknown aetiology characterised by presence of non caseating granulomas. LOFGREN SYNDROME - an acute illness characterised by erythema nodosam, peripheral ahropathy, uveitis, bilateral hilar lymphadenopathy,lethargy and fever often seen in young women. Bilateral hilar lymphadenopathy may be sometimes discovered incidentally on chest x-ray . Ref Davidson edition23rd pg 608
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