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Lymphedema and Lymphography in Sarcoidosis

HAROLD M. SILVER, MD; NEOFYTOS T. TSANGARIS, MD; OLGA M. EATON, MD
Arch Intern Med. 1966;117(5):712-714. doi:10.1001/archinte.1966.03870110104020.
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THE CHIEF complaint of lymphedema does not ordinarily bring to mind a consideration of sarcoidosis. Indeed, there is no subject listing of lymphedema or lymphography in the recent definitive bibliography on this disease.1 A reference which might be relevant was that of Longcope and Frieman2 who included swelling of the hands or feet in a table of clinical manifestations. However, they made no further comment in the text, so one cannot determine whether this was the result of arthritis, heart failure, renal damage, or lymphatic obstruction.

This report presents the case of a young woman who complained exclusively of massive swelling of the lower extremities. It indicates the association of lymphedema with sarcoidosis of the retroperitoneal nodes, and its alleviation as steroid-induced shrinkage of the nodes occurred.

Report of Case  A 30-year-old Negro woman was first examined on Sept 23, 1964. Her chief complaint was "swelling of the

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