Ogami Rio, Otsuka Yuki, Hasegawa Kou, Tokumasu Kazuki, Obika Mikako, Fujii Masanori, Otsuka Fumio
Department of General Medicine, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Okayama University Okayama Japan.
Department of Allergy and Respiratory Medicine Okayama University Hospital Okayama Japan.
J Gen Fam Med. 2023 Apr 17;24(4):264-265. doi: 10.1002/jgf2.621. eCollection 2023 Jul.
Here we report a case of sarcoidosis which demonstrated with bilateral ankle arthritis. We usually do not consider sarcoidosis routinely for the differential diagnosis of acute arthritis, however, up to 15 to 25% of sarcoidosis complicate arthritis, typically in ankle joints. Sarcoid arthritis is reported to occur mainly in young northern Europe women, whereas this case intimate that we should take sarcoidosis into account as the differential diagnosis of ankle arthralgia also among Asian men especially when combining upper respiratory symptoms.
在此,我们报告一例表现为双侧踝关节关节炎的结节病病例。我们通常不会在急性关节炎的鉴别诊断中常规考虑结节病,然而,高达15%至25%的结节病会并发关节炎,通常累及踝关节。据报道,结节性关节炎主要发生在北欧的年轻女性中,而该病例表明,在亚洲男性中,尤其是合并有上呼吸道症状时,我们也应将结节病作为踝关节疼痛的鉴别诊断考虑因素。