Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with the classic triad of Löfgren’s syndrome: acute onset of bilateral hilar lymphadenopathy (BHL), erythema nodosum, and polyarthralgia/arthritis. Symptoms include fever, malaise, and bilateral ankle swelling. No history of recent travel, infectious exposures, or occupational dust/chemical inhalation.
Clinical Examination Findings
Vitals: Febrile. Skin: Tender, erythematous, subcutaneous nodules noted on the anterior shins (erythema nodosum). Musculoskeletal: Bilateral ankle swelling with periarticular tenderness and limited range of motion. Respiratory: Lungs clear to auscultation bilaterally; no wheezing or crackles. Lymphatic: No palpable peripheral lymphadenopathy.
Treatment Protocol
Management focused on symptomatic relief. Prescribed non-steroidal anti-inflammatory drugs (NSAIDs) for arthralgia and erythema nodosum. Advised rest and elevation of lower extremities. Follow-up chest X-ray and pulmonary function tests (PFTs) scheduled in 3 months to monitor for resolution of BHL.