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Official Journal of the Italian Society of Thoracic Endoscopy
Indexed/Abstracted in: EMBASE, Scopus
Online ISSN 1827-1723
Russo F., Corcioni E., Manes M. T., Pagnotta G. L., Senatore F., Spataro T.
The authors report five cases of sarcoidosis, two acute and three chronic, characterised by their different clinical presentation and also the strict division of apparatus or organ in three cases (lymph nodes, spleen and thyroid) and by the scarcity of symptoms in the other 2 cases (fever and arthromyalgia). The first acute form described is a classic Lofgren's syndrome, the second sarcoid thyroiditis. The chronic forms respectively took the form of systemic deterioration, involving fever and arthromyalgia, a case with an intrathoracic lymphoglandular localisation, stage 1, and a case with a splenic localisation, both of which were asymptomatic. All patients received corticosteroid treatment which led to the resolution of the two acute forms, a gradual improvement of the two chronic forms, lymphoglandular and splenic, and the control of symptoms in the last chronic form with systemic involvement. In conclusion, the authors underline the importance of suspected sarcoidosis in the differential diagnosis of many pathologies, establishing the ³conditions of activity² and making adequate use of cortisone therapy which has altered the natural history of this disease.