Atraumatic forearm swelling in a patient with poorly controlled asthma.

Asthma BAL, bronchoalveolar lavage Bronchiectasis CT, computed tomography Darier-Roussy disease ED, emergency department Extrapulmonary Granulomatous disease Sarcoidosis Subcutaneous TBBX, transbronchial biopsy

Journal

Respiratory medicine case reports
ISSN: 2213-0071
Titre abrégé: Respir Med Case Rep
Pays: England
ID NLM: 101604463

Informations de publication

Date de publication:
2021
Historique:
received: 13 04 2021
revised: 26 05 2021
accepted: 15 06 2021
entrez: 17 8 2021
pubmed: 18 8 2021
medline: 18 8 2021
Statut: epublish

Résumé

We present a case of sarcoidosis presenting as unilateral forearm swelling. A 65-year-old male with a long history of asthma presented with unexplained left forearm and hand swelling. Over many years, chest imaging had been devoid of adenopathy or parenchymal findings suspicious for sarcoid, until after the extremity findings emerged. The patient was diagnosed based on subcutaneous, dermal and mediastinal lymph node histopathology. Sarcoid presenting with isolated extremity findings prior to more typical pulmonary manifestations is rare even for cutaneous or soft tissue sarcoid, highlighting the need to maintain a high index of suspicion for sarcoidosis.

Identifiants

DOI: 10.1016/j.rmcr.2021.101454 PMID: 34401293 PMC: PMC8349057
pubmed: 34401293
doi: 10.1016/j.rmcr.2021.101454
pii: S2213-0071(21)00116-7
pmc: PMC8349057
doi:

Types de publication

Case Reports

Langues

eng

Pagination

101454

Déclaration de conflit d'intérêts

The authors have no conflicts of interest to disclose.

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Auteurs

Matthew Leon (M)

Uniformed Services University of the Health Sciences, Bethesda, MD, USA.

Robert Liotta (R)

Thoracic Radiology, Uniformed Services of the Health Sciences, Bethesda, MD, USA.

Shambhu Aryal (S)

Advanced Lung Disease Program, Inova Fairfax Hospital, Falls Church, VA, USA.

Peter Vangeertruyden (P)

Musculoskeletal Radiology, Fort Belvoir Community Hospital, Fort Belvoir, Virginia, USA.

Scott Tintle (S)

Hand Surgery, Department of Orthopedic Surgery, Walter Reed National Military Medical Center, Bethesda, MD, USA.

Mary Klassen-Fischer (M)

Thoracic Pathology, Joint Pathology Center, Silver Spring, MD, USA.

Aaron Holley (A)

Pulmonary, Critical Care and Sleep Medicine, Walter Reed National Military Medical Center, Bethesda, MD, USA.
Department of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.

William Kelly (W)

Pulmonary, Critical Care and Sleep Medicine, Walter Reed National Military Medical Center, Bethesda, MD, USA.
Department of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.

Jacob Collen (J)

Pulmonary, Critical Care and Sleep Medicine, Walter Reed National Military Medical Center, Bethesda, MD, USA.
Department of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.

Classifications MeSH