Bone changes in sarcoidosis. Association of tuberculosis and extensive phalangeal cystic lesions as an early manifestation of sarcoidosis.

A young black man with pulmonary tuberculosis and a seven year course of insidious but eventually marked deformity of the hands and feet and some limitation of motion is presented herein. Radiologic findings from the digits were diagnostic of sarcoidosis, but the skin lesion which led to a definite diagnosis of sarcoidosis only appeared after seven years.