| << Chapter < Page | Chapter >> Page > |
This 47-year-old woman presented with a swollen and minimally tender right thumb. She felt fine otherwise and had no additionalcomplaints.
The papules on and around this patient’s nares, and those on her upper eyelids near the inner canthus, strongly suggestedsarcoidosis. A radiograph of her affected right thumb demonstrated a lytic lesion in the tip of the distal phalanx. Biopsies of that lesion and a nasalpapule showed noncaseating granulomas containing multinucleated giant cells typical of sarcoidosis.
This case illustrates an important clinical point: When bone lesions occur in patients with sarcoidosis, chronic sarcoidal skinchanges are almost always present as well.
Notification Switch
Would you like to follow the 'Images of memorable cases: 50 years at the bedside' conversation and receive update notifications?
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|