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Dermatology · Papulosquamous disorders: Löfgren syndrome
Sample itemA 28-year-old woman has painful red nodules on both shins, bilateral ankle arthritis and bilateral hilar lymphadenopathy on the chest radiograph. What is this syndrome?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Löfgren syndrome
Löfgren syndrome is an acute form of sarcoidosis with erythema nodosum, hilar lymphadenopathy and ankle arthritis. It usually has a good prognosis and resolves spontaneously in most patients.
Option by option
A. Löfgren syndrome (correct)
Correct. Erythema nodosum, arthritis and bilateral hilar nodes are Löfgren syndrome.
B. Reactive arthritis
Reactive arthritis follows an infection, with urethritis and conjunctivitis.
C. Sweet syndrome
Sweet syndrome gives painful neutrophilic plaques with fever, not shin nodules with hilar nodes.
D. Behçet disease
Behçet disease causes oral and genital ulcers and uveitis.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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