Sarcoidosis (Löfgren) — RACP Adult Medicine MCQ

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EasyGeneral Internal MedicineSarcoidosis (Löfgren)RACP Adult Medicine

A 45-year-old woman with suspected sarcoidosis presents with bilateral hilar lymphadenopathy and erythema nodosum. She also has acute polyarthralgia of the ankles. What is this specific clinical presentation called?

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Correct answer: C — Löfgren syndrome

Löfgren syndrome is an acute presentation of sarcoidosis characterised by the triad of bilateral hilar lymphadenopathy, erythema nodosum, and polyarthralgia (especially of the ankles). It has an excellent prognosis with >90% spontaneous resolution. Heerfordt syndrome is sarcoidosis with parotid enlargement, uveitis, facial nerve palsy, and fever.

Reference: eTG – 2025 – Respiratory