Download PDF
CC BY 4.0 · Surg J (N Y) 2017; 03(02): e75-e78
DOI: 10.1055/s-0037-1601879
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA

An Unusual Orthopaedic Disease: Sarcoidosis—A Case Report

Bahattin Kemah
1   Department of Orthopaedics and Traumatology, Agri State Hospital, Agri, Turkey
,
Burak Özturan
2   Department of Orthopaedics and Traumatology, Istanbul Medeniyet University Göztepe Training and Research Hospital, Istanbul, Turkey
,
Bilge Bilgic
3   Department of Pathology, Istanbul Medicine Faculty, Istanbul University, Istanbul, Turkey
,
Korhan Özkan
2   Department of Orthopaedics and Traumatology, Istanbul Medeniyet University Göztepe Training and Research Hospital, Istanbul, Turkey
,
Fuat Akpınar
2   Department of Orthopaedics and Traumatology, Istanbul Medeniyet University Göztepe Training and Research Hospital, Istanbul, Turkey
,
Bulent Kılıc
4   Department of Orthopaedics and Traumatology, Istanbul Gelisim University, Istanbul, Turkey
› Author Affiliations
Further Information

Publication History

13 July 2016

23 February 2017

Publication Date:
18 April 2017 (online)

   Permissions and Reprints

Abstract

Sarcoidosis is an idiopathic, noncaseating granulomatous disorder with wide systemic involvement. It is encountered widely around the world and it affects both sexes, all the races in all age groups. Lungs, eyes, and skin are the organs most commonly affected. Constitutional features such as weight loss, fatigue, and myalgia are the most common symptoms. Bone involvement, which is very rare, was reported as present in 3 to 13% of effected cases, and it is most commonly seen in hands and feet, compared with long bone involvement, which is extremely rare. We hereby present a case with a diagnosis of sarcoidosis and multiple bone involvement emphasizing the importance of differential diagnosis.

Keywords

sarcoidosis - bone - granulomatous disease
 

  • References

  • 1 Haddad N, Oliveira Filho Jd, Nasser KdaR, Corbett AM, Tebet AC, Reis ML. Musculoskeletal and cutaneous sarcoidosis: exuberant case report. An Bras Dermatol 2014; 89 (04) 660-662
    CrossrefPubMedGoogle Scholar
  • 2 O'Daly BJ, Harty JA, O'Malley N, Killeen R, McDonnell TJ, Quinlan WR. Bilateral olecranon fracture as first presentation of sarcoidosis: case report and review of the literature. J Shoulder Elbow Surg 2008; 17 (04) e1-e5
    PubMedGoogle Scholar
  • 3 James DG, Neville E, Siltzbach LE, Turiaf J, Battesti JP, Sharma OP. A worldwide review of sarcoidosis. Annals of the New York Academy of Sciences 1976; 278 (01) 321-334
    CrossrefPubMedGoogle Scholar
  • 4 Packer CD, Mileti LM. Vertebral sarcoidosis mimicking lytic osseous metastases: development 16 years after apparent resolution of thoracic sarcoidosis. J Clin Rheumatol 2005; 11 (02) 105-108
    CrossrefPubMedGoogle Scholar
  • 5 Wilcox A, Bharadwaj P, Sharma OP. Bone sarcoidosis. Curr Opin Rheumatol 2000; 12 (04) 321-330
    CrossrefPubMedGoogle Scholar
  • 6 Sweiss NJ, Lower EE, Korsten P, Niewold TB, Favus MJ, Baughman RP. Bone health issues in sarcoidosis. Curr Rheumatol Rep 2011; 13 (03) 265-272
    CrossrefPubMedGoogle Scholar
  • 7 Newman LS, Rose CS, Maier LA. Sarcoidosis. N Engl J Med 1997; 336 (17) 1224-1234 [Erratum in: N Engl J Med 1997 Jul 10;337(2):139]
    CrossrefPubMedGoogle Scholar
  • 8 Salari M, Rezaieyazdi Z. Prevalence and clinical picture of musculoskeletal sarcoidosis. Iran Red Crescent Med J 2014; 16 (07) e17918
    PubMedGoogle Scholar
  • 9 Rao DA, Dellaripa PF. Extrapulmonary manifestations of sarcoidosis. Rheum Dis Clin North Am 2013; 39 (02) 277-297
    CrossrefPubMedGoogle Scholar
  • 10 Karabulut Y, Güllülü M, Dalkılıç E. , et al. Löfgren Sendromu. Turkiye Klinikleri J Med Sci 2000; 20 (02) 87-91
    PubMedGoogle Scholar
  • 11 Jansen TL, Geusens PPMM. Sarcoidosis: joint, muscle and bone involvement. Eur Respir Mon 2000; 32: 210-219
    PubMedGoogle Scholar
  • 12 Sri D, Tamvakopoulos G, Guy R, Butler-Manuel A. Bilateral long bone fractures in a patient with sarcoid: a case report. Open J Orthop 2013; 3: 49-52
    PubMedGoogle Scholar
  • 13 Eid A, Carion W, Nystrom JS. Differential diagnoses of bone marrow granuloma. West J Med 1996; 164 (06) 510-515
    PubMedGoogle Scholar
  • 14 Sartoris DJ, Resnick D, Resnik C, Yaghmai I. Musculoskeletal manifestations of sarcoidosis. Semin Roentgenol 1985; 20 (04) 376-386
    CrossrefPubMedGoogle Scholar