RESUMO
Sarcoidosis is a multisystem granulomatous disease of unknown cause. The osteoarticular involvement in sarcoidosis is rare and is often associated with cutaneous and long-standing chronic multisystem disease. More common in black women, osseous sarcoidosis is difficult to diagnose, with an incidence of 3 to 13%. The most characteristic radiological clinical picture evidences rounded, well-defined cysts, with no periosteal reaction and without peripheral sclerosis. The small bones of hands and feet are the most frequently involved sites. This report aims to demonstrate a rare case of osteoarticular sarcoidosis with characteristic clinical presentation, and highlight the importance of detecting osteoarticular involvement in this pathology.
Assuntos
Doença Granulomatosa Crônica/patologia , Doenças Musculoesqueléticas/patologia , Sarcoidose/patologia , Dermatopatias/patologia , Idoso de 80 Anos ou mais , Feminino , Doença Granulomatosa Crônica/diagnóstico por imagem , Ossos da Mão/diagnóstico por imagem , Ossos da Mão/patologia , Humanos , Doenças Musculoesqueléticas/diagnóstico por imagem , Radiografia , Sarcoidose/diagnóstico por imagem , Dermatopatias/diagnóstico por imagem , Telangiectasia/patologiaRESUMO
Sarcoidosis is a multisystem granulomatous disease of unknown cause. The osteoarticular involvement in sarcoidosis is rare and is often associated with cutaneous and long-standing chronic multisystem disease. More common in black women, osseous sarcoidosis is difficult to diagnose, with an incidence of 3 to 13%. The most characteristic radiological clinical picture evidences rounded, well-defined cysts, with no periosteal reaction and without peripheral sclerosis. The small bones of hands and feet are the most frequently involved sites. This report aims to demonstrate a rare case of osteoarticular sarcoidosis with characteristic clinical presentation, and highlight the importance of detecting osteoarticular involvement in this pathology.
