Clinical Case Database / Category: Clinical Care

Sarcoid arthropathy

Publication details

Dr John V McGowan, Dr Roshan Amarasena, Dr Abbas Ismail
Foundation Years Journal, volume 6, issue 2, p.48 (123Doc Education, London, February 2012)

Abstract

A 42 year old Afro-Caribbean male attended the rheumatology clinic with a 4 year history of swelling of the joints in his hands. He denied early morning stiffness, joint involvement elsewhere, dry eyes or mouth, Raynaud’s phenomenon or weight loss. He was diagnosed with sarcoidosis 5 years previously following a biopsy of a 1cm lump in the posterior triangle of his neck, which showed non-caseating granulomas, and a chest radiograph showed bilateral hilar lymphadenopathy.

Access the Clinical Cases Database

A subscription is required to read the full article. Please subscribe using one of the options below.

Authors

Dr John V McGowan

Core Medical Trainee
North West Deanery

Dr Roshan Amarasena

Specialist Registrar in Rheumatology
North West Deanery

Dr Abbas Ismail (Corresponding author)

Consultant Rheumatologist
Stockport NHS Foundation Trust
Stepping Hill Hospital
Poplar Grove
Hazel Grove
Stockport
SK2 7JE
abbas.ismail@stockport.nhs.uk

References

1. Chen ES, Moller DR. Etiology of sarcoidosis. Clin Chest Med 2008;29:365-377.
2. Ezzie ME, Crouser ED. Considering an infectious etiology of sarcoidosis. Clin Dermatol 2007;25:259-266
3. Lannuzzi MC, Rybicki BA, Teirstein AS. Sarcoidosis. N Engl J Med 2007;357:2153-2165
4. Visser et al. Sarcoid arthritis: clinical characteristics, diagnostic aspects and risk factors. Ann Rheum Dis 2002;61:499-504
5. Sweiss NJ, Patterson K, Sawaqed R, et al. Rheumatologic manifestations of sarcoidosis. Semin Respir Crit Care Med 2010;31(4):463-473
6. Torralba KD, Quismorio FP Jr. Sarcoidosis and the rheumatologist. Curr Opin Rheumatol 2009;21:62-70
7. Thelier N, Assous N, Job-Deslandre C, et al. Osteoarticular involvement in a series of 100 patients with sarcoidosis referred to the rheumatology departments. J Rheumatol 2008;35:1622-1628
8. Judson et al. Efficacy of infliximab in extrapulmonary sarcoidosis: results from a randomised trial. Eur Respir J 2008;31:1189-1196
9. Baughman RP, Drent M, Kavuru M, et al. Infliximab therapy in patients with chronic sarcoidosis and pulmonary involvement. Am J Respir Crit Care Med 2006;174:795-802
10. Kearns J, Gershon S, Wise RP, et al. Tuberculosis associated with infliximab, a tumour necrosis factor-alpha neutralizing agent. N Engl J Med 2001;345:1098-104
11. Chung ES, Packer M, Lo KH, et al. Randomized, double-blind, placebocontrolled, pilot trial of infliximab, a chimeric monoclonal antibody to tumor necrosis factor-alpha, in patients with moderateto-severe heart failure: results of the anti-TNF Therapy Against Congestive Heart Failure (ATTACH) trial. Circulation 2003;107(25):3133-140
12. Daïen CI, Monnier A, Claudepierre P, et al. Sarcoid-like granulomatosis in patients treated with tumour necrosis factor blockers: 10 cases. Rheumatology 2009;48:883-6

Disclaimers

Conflict Of Interest

The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).

Financial Statement

The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.

Patient Consent statement

All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.

Animal & Human Rights

When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.

About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.