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A 32-year-old Japanese man with no remarkable medical history showed painful reddish, swollen flexion of the left digitus anularis (Picture 1). Posteroanterior radiographs of the hand showed osteolytic lesions (Picture… Click to show full abstract
A 32-year-old Japanese man with no remarkable medical history showed painful reddish, swollen flexion of the left digitus anularis (Picture 1). Posteroanterior radiographs of the hand showed osteolytic lesions (Picture 2A) that showed a low signal intensity on T1-weighted magnetic resonance imaging (Picture 3), suggesting osseous sarcoidosis (OS). Chest X-ray showed typical bilateral hilar lymphadenopathy as sarcoidosis (Picture 4). Bronchoscopically obtained specimens from the mediastinal lymph nodes showed noncaseating epithelioid cell granuloma; thus, the patient was diagnosed with sarcoidosis. OS is rarely the first manifesta-
Journal Title: Internal Medicine
Year Published: 2019
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