Fodor Daniela, Poanta Laura, Rogojan Liliana
2nd Internal Medicine Clinic, University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Pol Arch Med Wewn. 2008 Dec;118(12):774-7.
Dactylitis and bone lesions are rare complications of sarcoidosis that occur in the chronic disease and they are unusual features of the disease at presentation. The present paper describes a case of a 28-year-old woman with dactylitis (due to tenosynovitis and soft tissue granulomas) and phalangeal bone lesions in 2 fingers at the onset of sarcoidosis. She also had asymptomatic pulmonary type I sarcoidosis (bihilar lymph node enlargement with no involvement of the lung parenchyma). The response to treatment (prednisone 30 mg/day, tapered to 5 mg over 2 months for a 12-month period) was very good, with no relapse at 6 months after the end of systemic treatment.
指（趾）炎和骨病变是结节病的罕见并发症，多见于慢性疾病，在疾病初发时是不常见的特征。本文描述了一例28岁女性，在结节病初发时出现指（趾）炎（由于腱鞘炎和软组织肉芽肿）以及2根手指的指骨病变。她还患有无症状的I型肺结节病（双侧肺门淋巴结肿大，肺实质未受累）。对治疗（泼尼松30mg/天，在12个月内逐渐减量至5mg，共2个月）的反应非常好，全身治疗结束后6个月无复发。
