A young woman has erythema nodosum, bilateral hilar lymphadenopathy on chest X-ray and arthralgia. What is the most likely diagnosis?
Answer and explanation
Correct answer: D. Sarcoidosis
- Step 1: Bilateral hilar lymphadenopathy with erythema nodosum and arthralgia is Löfgren syndrome. Step 2. It is an acute, usually self-limiting form of sarcoidosis, and treatment is often with NSAIDs. Answer: Sarcoidosis. Why not the others: Tuberculosis tends to be unilateral with systemic symptoms. Lymphoma is possible but does not usually come with the erythema nodosum. Vasculitis presents with sinus, renal and lung nodules.
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