An Unusual Cause of Widespread Lytic Bone Lesions Caused by Sarcoidosis
Open Access
- 18 September 2011
- journal article
- case report
- Published by EduRad in Journal of Radiology Case Reports
- Vol. 5 (9), 1-7
- https://doi.org/10.3941/jrcr.v5i9.785
Abstract
We present a case of a 59 year old asymptomatic lady who was found to have incidental findings of pulmonary, osseous and hepatic involvement with sarcoidosis. The osseous lesions were lytic and involved unusual sites such as the vertebrae and skull base. The initial clinical concern had been of multiple myeloma or disseminated metastases. Biopsy of material obtained following mediastinoscopy revealed chronic, non-necrotising granulomatous lymphadenopathy indicative of sarcoidosis. Cases such as this could greatly benefit from multidisciplinary team discussion particularly when the clinical picture is not typical of malignancy.Keywords
This publication has 19 references indexed in Scilit:
- Vertebral sarcoidosis mimicking metastasesJournal of Neurology, Neurosurgery & Psychiatry, 2010
- Sarcoidosis of the thoracic and lumbar vertebrae, mimicking metastasis or multifocal osteomyelitis by MRI: case reportClinical Imaging, 2009
- SarcoidosisBMJ, 2009
- Sarcoidosis presenting as an osteolytic skull lesion: a case report and review of literature on skull sarcoidosisClinical Rheumatology, 2007
- Vertebral Sarcoidosis Mimicking Lytic Osseous MetastasesJCR: Journal of Clinical Rheumatology, 2005
- Sarcoidosis Presenting as Metastatic Bony DiseaseRespiration, 2004
- Unsuspected Skeletal Sarcoidosis Mimicking Metastatic Disease on FDG Positron Emission Tomography and Bone ScintigraphyClinical Nuclear Medicine, 2003
- Pathology Quiz CaseJAMA Otolaryngology–Head & Neck Surgery, 2002
- Bone sarcoidosisCurrent Opinion in Rheumatology, 2000
- Unusual manifestations of thoracic sarcoidosisAmerican Journal of Roentgenology, 1985