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8.
Bratisl Lek Listy ; 112(6): 355-6, 2011.
Article in English | MEDLINE | ID: mdl-21692413

ABSTRACT

Acute sarcoid arthritis may be present in isolation or as part of Löfgren's syndrome. Its true incidence is unclear since the diagnosis may be difficult when patients present with articular symptoms alone. The diagnosis of sarcoid arthritis is based upon suggestive clinical, imaging, synovial fluid findings, and in some cases upon synovial biopsy. The finding of sterile noncaseating granulomatous inflammation on biopsy is supportive, but it is not pathognomic of sarcoidosis. On the other hand, sarcoidosis has been associated with autoimmune diseases, especially with autoimmune thyroid disease. We believe that it might be of interest to evaluate thyroid function testing in patients with clinical features consistent with sarcoid arthritis, and the diagnosis of sarcoidosis should be considered in patients who present with symmetrical arthritis and thyroid autoimmune disease. We describe herein a patient with subclinical autoimmune hypothyroidism and an acute symmetrical oligoarthritis, with a clinical presentation and laboratory data consistent with acute sarcoid arthritis (Ref. 14).


Subject(s)
Arthritis/diagnosis , Autoimmune Diseases/complications , Hypothyroidism/complications , Sarcoidosis/diagnosis , Acute Disease , Adult , Arthritis/complications , Humans , Male , Sarcoidosis/complications
20.
Rev Clin Esp ; 205(11): 545-8, 2005 Nov.
Article in Spanish | MEDLINE | ID: mdl-16324526

ABSTRACT

We performed a retrospective study about patients diagnosed of spinal epidural abscess without concurrent spondylodiscitis, collected in the last five years in our hospital. We describe four patients, all of them males, with ages ranged from 59 to 67 years old. All patients presented fever, elevated phase reactants and spinal pain, with cord compression in three of them. Two patients had risk factors: diabetes mellitus and non-Hodgkin lymphoma. S. aureus was isolated in three patients, and S. agalactiae in the other one. The posterior epidural space was the most frequently affected, with variable location along the spinal cord. Three patients required surgical operation, and the other one was treated only with antibiotics. All patients demonstrated a complete clinical, analytical and radiological resolution.


Subject(s)
Epidural Abscess/diagnosis , Staphylococcal Infections/diagnosis , Aged , Humans , Male , Middle Aged , Retrospective Studies
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