Osseous Sarcoidosis
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Affiliation: Uniformed Services University
ABSTRACT
Diagnosis: Osseous Sarcoidosis History: 48 year old male presents with pain in fingers of both hands. He has a 25 year history of sarcoidosis diagnosed via epitrochlear lymph node biopsy in 1982. The patient has a questionable history of lung involvement as demonstrated by nonspecific spirometry changes with normal chest radiography, which is confused by his history of chronic bronchitis. The patient has suffered joint (shoulder, ankle, and knee) pain and skin symptoms for several years. Findings: Bilateral radiographs of the hands in the “Catcher’s or Norgaard view show abnormalities of the left hand including osteopenia with lacy reticulation of phalanges of the fifth finger Ddx: Osteoporosis/Osteopenia Osteoarthritis Malignancy Sarcoidosis Dxhow: Imaging coupled with biopsy confirmed sarcoidosis Exam: Vital signs WNL Hands: Swelling of proximal interphalangeal joints of both hands without tenderness, warmth, or erythema Skin: plaque-like thickening and areas of hyper and hypopigmentation of the skin of upper arms, upper back, neck and scalp. No MeSH data available. |
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MPX2118_synpic38199: Bilateral radiographs of the hands in the “Catcher’s or Norgaard view show abnormalities of the left hand including osteopenia with lacy reticulation of phalanges of the fifth finger. |
View Article: MedPix Image - MedPix Case
Affiliation: Uniformed Services University
Diagnosis: Osseous Sarcoidosis
History: 48 year old male presents with pain in fingers of both hands. He has a 25 year history of sarcoidosis diagnosed via epitrochlear lymph node biopsy in 1982. The patient has a questionable history of lung involvement as demonstrated by nonspecific spirometry changes with normal chest radiography, which is confused by his history of chronic bronchitis. The patient has suffered joint (shoulder, ankle, and knee) pain and skin symptoms for several years.
Findings: Bilateral radiographs of the hands in the “Catcher’s or Norgaard view show abnormalities of the left hand including osteopenia with lacy reticulation of phalanges of the fifth finger
Ddx: Osteoporosis/Osteopenia Osteoarthritis Malignancy Sarcoidosis
Dxhow: Imaging coupled with biopsy confirmed sarcoidosis
Exam: Vital signs WNL Hands: Swelling of proximal interphalangeal joints of both hands without tenderness, warmth, or erythema Skin: plaque-like thickening and areas of hyper and hypopigmentation of the skin of upper arms, upper back, neck and scalp.
No MeSH data available.