Rapid Development of Sarcoid Tenosynovitis

Lambert, Lara; Riemer, Ellen C.; Judson, Marc A.

doi:10.1097/rhu.0b013e31821c0a17

Cited by 8 publications

(2 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We also learnt that acute tenosynovitis may be a rare presentation of sarcoidosis usually observed in established sarcoidosis and associated with a higher than usual incidence of polyarthritis 76 77. While sarcoid tenosynovitis almost exclusively occurs in the hands,77 there have been reports of ankle tenosynovitis78 and Achilles tendinitis79 in sarcoidosis.Lastly, there are, to date, no randomised controlled studies on the treatment of multisystemic sarcoidosis. No doubt, this is likely because sarcoidosis is a rare condition and may be of a self-limiting disease course.…”

Section: Discussionmentioning

confidence: 99%

Multisystemic sarcoidosis—important lessons learnt from one of the great imitators

2019

View full text Add to dashboard Cite

We report a case of a woman who was admitted with a suspicion of metastatic malignancy of unknown primary origin. A few months prior to her admission, she presented to a rheumatologist with acute anterior uveitis, psoriasiform rashes and polyarthritis. A diagnosis of psoriatic arthropathy was made and she was treated accordingly. Soon after she presented with persistent back and right upper quadrant abdominal pain for which she had a CT scan done with evidence of hilar lymphadenopathy, liver hypodensities and lytic-sclerotic bone lesions. She was referred to our hospital for further investigations and management. After re-exploring her clinical presentation and further investigations (including a liver biopsy), a diagnosis of multisystemic sarcoidosis with ocular, reticuloendothelial, hepatic and skeletal involvement was made. The patient was started on systemic glucocorticoids and second line immunosuppressants and demonstrated significant clinical improvement with resolution of her liver granulomata on imaging and improvement in her back pain. The case illustrates the importance of a thorough clinical assessment, review of investigations and an open mind in the evaluation of a patient.

show abstract

Section: Discussionmentioning

confidence: 99%

Multisystemic sarcoidosis—important lessons learnt from one of the great imitators

2019

View full text Add to dashboard Cite

show abstract

“…With cases of failed conservative management or mass effect affecting hand functions, good long-term control by synovectomy has been reported, but no reasonable sized clinical studies was conducted. 9,10…”

Section: Managementmentioning

confidence: 99%

Report of a Rare Case of Hand Bony Involvement of Sarcoidosis in a Chinese Young Man

Yuen

2014

Journal of Orthopaedics, Trauma and Rehabilitation

View full text Add to dashboard Cite

show abstract

The Clinical Features of Sarcoidosis: A Comprehensive Review

Judson

2014

Clinic Rev Allerg Immunol

209

View full text Add to dashboard Cite

Sarcoidosis has innumerable clinical manifestations, as the disease may affect every body organ. Furthermore, the severity of sarcoidosis involvement may range from an asymptomatic state to a life-threatening condition. This manuscript reviews a wide variety of common and less common clinical characteristics of sarcoidosis. These manifestations are presented organ by organ, although additional sections describe systemic and multiorgan presentations of sarcoidosis. The lung is the organ most commonly involved with sarcoidosis with at least 90 % of sarcoidosis patients demonstrating lung involvement in most series. The skin, eye, liver, and peripheral lymph node are the next most commonly clinically involved organs in most series, with the frequency of involvement ranging from 10 to 30 %. The actual frequency of sarcoidosis organ involvement is probably much higher as it is frequently asymptomatic and may avoid detection. This is particularly common with lung, liver, cardiac, and bone involvement. Cardiac sarcoidosis is present in 25 % of all sarcoidosis but only causes clinical problems in 5 % of them. Nevertheless, unlike sarcoidosis involvement of most other organs, it may be suddenly fatal. Therefore, it is important to screen for cardiac sarcoidosis in all sarcoidosis patients. All sarcoidosis patients should also be screened for eye involvement as asymptomatic patients may have eye involvement that may cause permanent vision impairment. Pulmonary fibrosis from sarcoidosis is usually slowly progressive but may be life-threatening because of the development of respiratory failure, pulmonary hypertension, or hemoptysis related to a mycetoma or bronchiectasis. Some manifestations of sarcoidosis are not organ-specific and probably are the result of a release of mediators from the sarcoid granuloma. Two such manifestations include small fiber neuropathy and fatigue syndromes, and they are observed in a large percentage of patients.

show abstract

Rapid Development of Sarcoid Tenosynovitis

Cited by 8 publications

References 30 publications

Multisystemic sarcoidosis—important lessons learnt from one of the great imitators

Multisystemic sarcoidosis—important lessons learnt from one of the great imitators

Report of a Rare Case of Hand Bony Involvement of Sarcoidosis in a Chinese Young Man

The Clinical Features of Sarcoidosis: A Comprehensive Review

Contact Info

Product

Resources

About