Solitary osseous sarcoidosis: a rare reason for pathologic fracture

Rheumatol Int. 2012 Aug;32(8):2535-8. doi: 10.1007/s00296-010-1425-2. Epub 2010 Apr 3.

Abstract

Sarcoidosis with osseous involvement as the initial manifestation is rare. Due to lack of other organ involvements, the diagnosis is somehow difficult to establish. We report a case with osseous sarcoidosis as the initial and major manifestation that developed spontaneous bone fracture. Our case emphasizes the importance of histological evidence and exclusion of other diseases i.e. rheumatoid arthritis, before making the diagnosis of osseous sarcoidosis.

Publication types

  • Case Reports

MeSH terms

  • Biopsy
  • Bone Diseases / complications*
  • Bone Diseases / diagnosis
  • Bone Diseases / drug therapy
  • Diagnosis, Differential
  • Female
  • Finger Phalanges / diagnostic imaging
  • Finger Phalanges / injuries*
  • Finger Phalanges / pathology
  • Fractures, Spontaneous / diagnosis
  • Fractures, Spontaneous / drug therapy
  • Fractures, Spontaneous / etiology*
  • Glucocorticoids / administration & dosage
  • Humans
  • Middle Aged
  • Predictive Value of Tests
  • Prednisone / administration & dosage
  • Radionuclide Imaging
  • Sarcoidosis / complications*
  • Sarcoidosis / diagnosis
  • Sarcoidosis / drug therapy
  • Toe Phalanges / diagnostic imaging
  • Toe Phalanges / injuries*
  • Toe Phalanges / pathology
  • Tomography, X-Ray Computed

Substances

  • Glucocorticoids
  • Prednisone