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Journal of Medical Case Reports

, 9:206

First Online: 11 September 2015Received: 09 June 2014Accepted: 23 July 2015DOI: 10.1186-s13256-015-0661-1

Cite this article as: Palmou-Fontana, N., Navarro, E.J., Melero, O.M. et al. J Med Case Reports 2015 9: 206. doi:10.1186-s13256-015-0661-1

Abstract

IntroductionVery few cases of scar sarcoidosis affecting the eyes and bone together have been reported in the last few years.

Case presentationWe report a case of a 49-year-old Spanish man with recurrent bilateral granulomatous uveitis and a fistulous nodular lesion in the left pre-tibial region scar granuloma on the site of an 8-year-old scar. He presented with bilateral hilar adenopathies and elevation of inflammatory markers and angiotensin-converting enzyme. A histologically confirmed sarcoid of the tibia with a radiologic appearance unusual for long tubular bone involvement was observed. He also had bilateral ophthalmologic involvement.

ConclusionsSarcoidosis is a disease of unknown cause histologically characterized by non-caseating granulomas that can involve any organ or tissue. Osseous sarcoidosis is a relatively rare presentation. However, on the basis of cases reported in the literature, sarcoid lesions on bones are generally asymptomatic. Biologic agents are considered an alternative therapy for sarcoidosis resistant to conventional treatment.

AbbreviationsACEangiotensin-converting enzyme

CTcomputed tomographic

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Autor: Natalia Palmou-Fontana - Enrique Judez Navarro - Oscar Martín Melero - Sergio Losa Palacios

Fuente: https://link.springer.com/







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