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Previous Volume 352:516-517 February 3, 2005 Number 5 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: In their Clinical Problem-Solving article "Footprints" (Sept. 30 issue),¹ Kassutto and Daily present the case of a patient with erythema nodosum, bilateral hilar lymphadenopathy, and a positive purified-protein-derivative (PPD) test. The diagnosis, primary tuberculosis, was based on an assumed recent PPD conversion. There had been no previous PPD testing. Löfgren's syndrome with latent tuberculosis is an equally probable diagnosis.² The evaluation, although thorough and thoughtful, missed the opportunity to obtain a diagnosis by omitting bronchoscopy. Bronchoscopy with transbronchial lung biopsy, transbronchial needle aspiration, or both has a high diagnostic yield in sarcoidosis (83 percent in stage 1).³ . . . [Full Text of this Article]

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