Skip to main content
Top
Published in: Rheumatology International 3/2009

01-01-2009 | Case Report

Axial sarcoidosis mimicking radiographic sacroiliitis

Authors: Omer Binicier, Ismail Sari, Gercek Sen, Fatos Onen, Nurullah Akkoc, Metin Manisali, Servet Akar

Published in: Rheumatology International | Issue 3/2009

Login to get access

Abstract

Involvement of the axial skeleton in sarcoidosis is a rare condition. Herein we report a case with an extensive axial sarcoidosis whose plain radiographs were non-informative. The present case suggested that osseous lesions on sacrum and iliac bones might cause misdiagnosis of sacroiliitis in plain radiographs and advanced imaging may be necessary to make an accurate diagnosis. Our case also underscores the importance of magnetic resonance imaging in selection of a suitable biopsy site to establish diagnosis.
Literature
6.
go back to reference Wendling D, Desmurs H, Royer F, Gil H, Dupond JL (2008) Inaugural cervical vertebral sarcoidosis. J Rheumatol 35(2):362–365PubMed Wendling D, Desmurs H, Royer F, Gil H, Dupond JL (2008) Inaugural cervical vertebral sarcoidosis. J Rheumatol 35(2):362–365PubMed
7.
go back to reference Clarencon F, Silbermann-Hoffman O, Lebreton C, Fernandez P, Kerrou K, Marchand-Adam S et al (2007) Diffuse spine involvement in sarcoidosis with sternal lytic lesions: two case reports. Spine 32(20):E594–E597PubMed Clarencon F, Silbermann-Hoffman O, Lebreton C, Fernandez P, Kerrou K, Marchand-Adam S et al (2007) Diffuse spine involvement in sarcoidosis with sternal lytic lesions: two case reports. Spine 32(20):E594–E597PubMed
8.
go back to reference Waanders F, van Hengel P, Krikke A, Wesseling J, Nieboer P (2006) Sarcoidosis mimicking metastatic disease: a case report and review of the literature. Neth J Med 64(9):342–345PubMed Waanders F, van Hengel P, Krikke A, Wesseling J, Nieboer P (2006) Sarcoidosis mimicking metastatic disease: a case report and review of the literature. Neth J Med 64(9):342–345PubMed
9.
go back to reference Mangino D, Stover DE (2004) Sarcoidosis presenting as metastatic bony disease. A case report and review of the literature on vertebral body sarcoidosis. Respiration 71(3):292–294. doi:10.1159/000077430 PubMedCrossRef Mangino D, Stover DE (2004) Sarcoidosis presenting as metastatic bony disease. A case report and review of the literature on vertebral body sarcoidosis. Respiration 71(3):292–294. doi:10.​1159/​000077430 PubMedCrossRef
13.
go back to reference Fisher AJ, Gilula LA, Kyriakos M, Holzaepfel CD (1999) MR imaging changes of lumbar vertebral sarcoidosis. AJR Am J Roentgenol 173(2):354–356PubMed Fisher AJ, Gilula LA, Kyriakos M, Holzaepfel CD (1999) MR imaging changes of lumbar vertebral sarcoidosis. AJR Am J Roentgenol 173(2):354–356PubMed
15.
go back to reference Marymont JV, Murphy DA (1994) Sarcoidosis of the axial skeleton. Clin Nucl Med 19(12):1060–1062PubMed Marymont JV, Murphy DA (1994) Sarcoidosis of the axial skeleton. Clin Nucl Med 19(12):1060–1062PubMed
16.
go back to reference Longcope WT, Freiman DG (1952) A study of sarcoidosis; based on a combined investigation of 160 cases including 30 autopsies from The Johns Hopkins Hospital and Massachusetts General Hospital. Medicine (Baltimore) 31(1):1–132. doi:10.1097/00005792-195202000-00001 CrossRef Longcope WT, Freiman DG (1952) A study of sarcoidosis; based on a combined investigation of 160 cases including 30 autopsies from The Johns Hopkins Hospital and Massachusetts General Hospital. Medicine (Baltimore) 31(1):1–132. doi:10.​1097/​00005792-195202000-00001 CrossRef
19.
go back to reference Gibson GJ, Prescott RJ, Muers MF, Middleton WG, Mitchell DN, Connolly CK et al (1996) British Thoracic Society Sarcoidosis study: effects of long term corticosteroid treatment. Thorax 51(3):238–247PubMedCrossRef Gibson GJ, Prescott RJ, Muers MF, Middleton WG, Mitchell DN, Connolly CK et al (1996) British Thoracic Society Sarcoidosis study: effects of long term corticosteroid treatment. Thorax 51(3):238–247PubMedCrossRef
Metadata
Title
Axial sarcoidosis mimicking radiographic sacroiliitis
Authors
Omer Binicier
Ismail Sari
Gercek Sen
Fatos Onen
Nurullah Akkoc
Metin Manisali
Servet Akar
Publication date
01-01-2009
Publisher
Springer-Verlag
Published in
Rheumatology International / Issue 3/2009
Print ISSN: 0172-8172
Electronic ISSN: 1437-160X
DOI
https://doi.org/10.1007/s00296-008-0677-6

Other articles of this Issue 3/2009

Rheumatology International 3/2009 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine