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From: Sarcoidosis Figure Legend: Date of download: 10/30/2017

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1 From: Sarcoidosis Figure Legend: Date of download: 10/30/2017
Ann Intern Med. 2012;156(9):ITC5-1. doi: / Figure Legend: A. Stage 1. The Lofgren syndrome. A 24-year-old man presented with 1 day of bilateral symmetrical ankle swelling and pain; he also noted dusky nodules on his shins. A chest x-ray revealed bilateral hilar and right paratracheal adenopathy. Note the convex shape of the enlarged hila (arrows). B. Stage 2 pulmonary sarcoidosis. A 38-year-old man with cough, showing bilateral perihilar nodular infiltrates and bilateral hilar fullness. C. The patient initially presented with stage 2 disease with nodular interstitial lung disease and hilar fullness as shown in the x-ray. He improved with prednisone therapy. Three months after stopping prednisone the presented with fatigue and dyspnea. The chest x-ray shows stage 3 sarcoidosis with recurrence of the infiltrates, although there is no adenopathy (D). E. Stage 4 sarcoidosis. A 58-year-old man with a 30-year history of sarcoidosis, showing upper lobe fibrosis and cyst formation. Note the metallic densities in the upper-left lung, representing previous coil embolization for hemoptysis associated with aspergilloma. Date of download: 10/30/2017 Copyright © American College of Physicians. All rights reserved.


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