A Case of Sarecoid Dactylitis.
- Author:
Joo Won KIM
1
;
Dong Soo YOO
;
Il Hwan KIM
;
Hae Jun SONG
;
Jae Jung SHIM
;
Kyung Ho KANG
;
Chill Hwan OH
Author Information
1. Department of Dermatology, College of Medicine, Korea University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Sarcoid dactylitis
- MeSH:
Extremities;
Female;
Foot;
Granuloma;
Hand;
Humans;
Hydroxychloroquine;
Immunity, Cellular;
Leukopenia;
Lung;
Lymphatic Diseases;
Middle Aged;
Necrosis;
Prednisone;
Thorax
- From:Korean Journal of Dermatology
1999;37(10):1479-1482
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report a case of sarcoid dactylitis in which there have been significant bone changes. A 46 year-old female presented with digital erythematous clubbing-like changes and sausage-like swellings of middle phalanges of both hands for 3 months. She had also several freely movable nontender subcutaneous nodules on her trunk and extremities for 3 years. There was a mild leukopenia and decreased cell-mediated immunity. The chest X-ray revealed bilateral hilar lymphadenopathy with increased interstitial lung markings. The X-ray of the hands and feet revealed paraarticular osteolytic lesions and altered trabecular patterns. Histopathologically there were several well-circumscribed granulomas without any caseating necrosis. We treated her with oral prednisone and hydroxychloroquine with some improvement.
