Blanchon P, Paillas J, Holler A, Viellefond A, Tominez G
Poumon Coeur. 1975;31(3):101-10.
Authors report on one case of particularly flourishing and evolutive sarcoidosis that conditioned numerous manifestations among which stand out lesions interesting one hip and one sacro-iliac articulation and also extensive and destructive bone lesions. This case is for them an opportunity for recalling the major facts related with bone lesions and articular manifestations of sarcoidosis and for calling attention on the spinal and pelvic-spinal involvements. The latter, when signs of bone lysis exist, are evocative of a neoplasm. More often, spondylodiscitis, coexisting sometimes with spindle-like paravertebral pictures, let think of tuberculosis. Confusion would be unavoidable if such facts, in spite of their rareness, were not better known.
作者报告了一例病情特别严重且不断发展的结节病病例，该病例出现了多种症状，其中值得注意的是累及一侧髋关节和一侧骶髂关节的病变，以及广泛的破坏性骨病变。对他们来说，这个病例是一个契机，可借此回顾与结节病的骨病变和关节表现相关的主要事实，并引起人们对脊柱和脊柱骨盆受累情况的关注。当存在骨质溶解迹象时，后者会让人联想到肿瘤。更常见的是，脊椎间盘炎有时与脊椎旁梭形影像并存，这会让人想到结核病。如果不更好地了解这些尽管罕见但却真实存在的情况，就难免会造成误诊。
