Sarcoid tenosynovitis, rare presentation of a common disease. Case report and literature review

Authors

  • Zeid Al-Ani
  • Teik Chooi Oh
  • Elizabeth Macphie
  • Michael J Woodruff

DOI:

https://doi.org/10.3941/jrcr.v9i8.2311

Keywords:

Sarcoidosis, tenosynovitis, hand, phalanges, Magnetic Resonance Imaging, MRI

Abstract

Sarcoidosis is an idiopathic inflammatory disorder characterized by the presence of non-caseating tissue granulomas most commonly affecting lungs, lymph nodes and skin. Sarcoid skeletal involvement is relatively uncommon and in particular tenosynovitis. We describe an unusual case of sarcoidosis presenting with granulomatous tenosynovitis as the only manifestation of the disease, illustrating the radiological findings on different modalities followed by a review of the literature. Radiologists and clinicians should be aware of tenosynovitis as a manifestation of sarcoidosis as early and therefore appropriate treatment significantly alters patient's outcome and prognosis.

Author Biographies

Zeid Al-Ani

Radiology Registrar

Imaging Department, Lancashire Teaching Hospitals NHS Foundation Trust, Royal Preston Hospital, Preston, United Kingdom.

Teik Chooi Oh

Consultant Musculoskeletal Radiologist.

Imaging Department, Lancashire Teaching Hospitals NHS Foundation Trust, Royal Preston Hospital, Preston, United Kingdom.

Elizabeth Macphie

1.     Consultant Rheumatologist

Rheumatology Department, Minerva Health Centre, Lancashire Care NHS Foundation Trust. Lowthorpe road. Preston. PR1 6SB.

Michael J Woodruff

Trauma and Orthopaedics Consultant

Trauma and Orthopaedics Department, Lancashire Teaching Hospitals NHS Foundation Trust, Royal Preston Hospital, Preston, United Kingdom.

 

Published

2015-08-27

Issue

Section

Musculoskeletal Radiology