González del Pino J, Diez Ulloa A, Lovic A, Relea M F
Division of Hand Surgery and Microsurgery, Vírgen de la Torre Hospital, Madrid, Spain.
J Hand Surg Am. 1997 Sep;22(5):942-5. doi: 10.1016/s0363-5023(97)80095-0.
The association of soft tissue and bone sarcoidosis in the hand and wrist is rare. Two cases of sarcoidosis, 1 with involvement of the distal radius and both flexor and extensor tendons in the wrist and another with tenosynovitis of 2 fingers associated with phalangeal osteolysis, are reported. Both patients were surgically treated by tenosynovectomy. The importance of the systemic corticosteroid therapy is emphasized.
手部和腕部软组织与骨结节病的关联较为罕见。本文报告了2例结节病病例,1例累及桡骨远端以及腕部的屈肌腱和伸肌腱,另1例伴有2个手指的腱鞘炎并伴有指骨骨质溶解。两名患者均接受了腱鞘切除术的手术治疗。强调了全身皮质类固醇治疗的重要性。