This protocol applies to sarcoidosis presenting as Lofgren syndrome — a pattern that includes erythema nodosum, arthralgia, hilar adenopathy, and fever. The syndrome typically resolves completely within a few months.
Nonsteroidal anti-inflammatory drugs (NSAIDs) are the usual first approach for joint pain and painful skin lesions in Lofgren syndrome. This protocol is indicated when that course has not achieved resolution of joint pain and skin lesions within the expected timeframe.
When NSAIDs prove insufficient, a corticosteroid-based approach may be required. The full regimen — including agent selection, dose range, and duration — is available in the complete structured protocol.
This syndrome, which is also associated with hilar adenopathy, fever and pain in the ankles and other joints, typically resolves completely in a few months.
It can be usually treated with only nonsteroidal drugs for painful skin lesions and joint pain; however, occasionally corticosteroids are required.
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