Snapshot potatonode A previously healthy 30-year-old African American woman has fatigue, arthralgia, and a nodular rash over the trunk and upper extremities for three weeks. There are twelve 3-8 mm, pale, indurated plaques over the chest, back, and upper extremities. The liver is palpable 2 cm below the right costal margin with a percussion span of 14 cm, and the spleen tip is palpable 3 cm below the left costal margin. There is no pain or limitation of any of the joints. A chest radiograph shows bilateral lymphadenopathy. Introduction Idiopathic condition characterized by granulmomatous inflammation of multiple organs login to view 9 more bullets Epidemiology login to view 3 more bullets Associated conditions login to view 1 more bullet Presentation Symptoms login to view 15 more bullets Physical exam login to view 10 more bullets Evaluation Diagnosis is clinical and often one of exclusion Chest radiograph login to view 2 more bullets Labs login to view 7 more bullets Pulmonary function tests login to view 2 more bullets Bronchoalveolar lavage login to view 3 more bullets Biopsy login to view 3 more bullets Treatment Conservative login to view 2 more bullets Pharmacologic login to view 7 more bullets Prognosis Relapsing/remitting course with 50% resolving spontaneously Progression login to view 4 more bullets