EERO SAIRANEN, M.D.
To the editor: The principal point of the recent article by Winterbauer, Belic, and Moores (Ann Intern Med 78: 65-71, 1973) is that bilateral hilar adenopathy in association with erythema nodosum should be considered a priori evidence of sarcoidosis and that biopsy confirmation of the diagnosis is not necessary.
The clinical features of Yersinia enterocolitica or Yersinia pseudotuberculosis [Pasteurella pseudotuberculosis] infections, such as septicaemia, gastroenteritis, mesenteric lymphadenitis or terminal ileitis resembling appendicitis, erythema nodosum, and arthritis, have been encountered increasingly in recent years in different parts of the world (1-5). In 1972 several studies (Table 1) also reported pulmonary changes,
SAIRANEN E. Hilar Adenopathy with Yersinia Infection. Ann Intern Med. ;80:673–674. doi: 10.7326/0003-4819-80-5-673_2
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Published: Ann Intern Med. 1974;80(5):673-674.
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