Silver H M, Shirkhoda A, Simon D B
Chest. 1978 Feb;73(2):238-41. doi: 10.1378/chest.73.2.238.
Twenty-one years after the onset of sarcoidosis, a 51-year-old woman experienced pain in the lower portion of her back, which proved to be the result of sarcoidosis involving the pelvis. The pelvic abnormality consisted of osteosclerotic and osteoblastic lesions. A bone scan showed several other areas of increased uptake, and the diagnosis was confirmed by bone biopsy. The patient improved with treatment with steroids, but the findings on the x-ray film and the bone scan did not change. Sarcoidosis may cause obscure, but symptomatic, osseous lesions.
结节病发病21年后，一名51岁女性出现下背部疼痛，结果证明是结节病累及骨盆所致。骨盆异常表现为骨硬化和骨母细胞病变。骨扫描显示其他几个部位摄取增加，骨活检确诊了病情。患者经类固醇治疗后病情好转，但X光片和骨扫描结果未改变。结节病可能会导致隐匿但有症状的骨病变。
