Extrapulmonary Sarcoidosis: A Diagnostic Challenge.
extrapulmonary sarcoidosis
ground-glass opacity
non-caseating granuloma
stress fractures
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
21 Oct 2020
21 Oct 2020
Historique:
entrez:
23
11
2020
pubmed:
24
11
2020
medline:
24
11
2020
Statut:
epublish
Résumé
Extrapulmonary sarcoidosis accounts for only two percent of the total sarcoid cases. Sarcoidosis affecting the musculoskeletal system alone is even rarer. Diagnosis is based on suggestive history, clinical features, imaging followed by confirmation of non-caseating granulomas on a biopsy. Steroids form the first line of treatment for patients where musculoskeletal system is involved. We report the case of a 26-year-old gentleman who presented with right foot pain and unintentional weight loss. A magnetic resonance imaging (MRI) scan of feet confirmed bilateral stress fractures of both feet. After a battery of investigations and resultant myriad constellation of investigation findings, the diagnosis of sarcoidosis was confirmed on a tissue biopsy obtained via bronchoscopy. This case report discusses the complex journey from presentation to diagnosis and subsequent treatment while also exploring important differentials that need to be ruled out in such scenarios.
Identifiants
pubmed: 33224670
doi: 10.7759/cureus.11076
pmc: PMC7678758
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e11076Informations de copyright
Copyright © 2020, Nadeem et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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