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Rheumatology 2000; 39: 683-685
© 2000 British Society for Rheumatology

Letters to the Editor

Acute sarcoidosis: a difficult diagnosis

L. S. Teh, G. M. Coombes, R. H. MacDonald1, R. J. Prescott2, D. M. Dietch and A. K. P. Jones

Rheumatology and
1 Pathology, Hope Hospital, Salford Royal Hospitals NHS Trust, Stott Lane, Salford M6 8HD and
2 Department of Pathology, Blackburn Royal Infirmary, Bolton Road, Blackburn BB2 3LR, UK

The first 10% of the full text of this article appears below.

SIR, We report a case that illustrates the difficulties in the diagnosis of pyrexia of unknown origin [1]. A young male caucasian presented with fever, rash, polyarthralgia and lymphadenopathy. An initial diagnosis of acute toxoplasmosis proved incorrect, as did the subsequently revised one of adult Still's disease. The correct diagnosis proved to be acute sarcoidosis made 6 months after presentation, when a Kveim test proved positive 4 months after the intradermal injection.

A 30-yr-old white police officer was admitted as an emergency case with a 1-week history of sore throat, sweating attacks, intermittent skin rash and flitting polyarthralgia. His wife and daughter were well and . . . [Full Text of this Article]


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