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Skeletal Radiology

, Volume 45, Issue 5, pp 717–721 | Cite as

Sarcoidosis: radiographic manifestations in the nails and distal phalanges

  • Brittany K. Albers
  • Jason C. Sluzevich
  • Hillary W. Garner
Case Report

Abstract

Sarcoidosis is a granulomatous disease which can affect multiple organ systems. Clinical and radiologic manifestations depend on the organ system involved and the chronicity of disease. Nail involvement in sarcoidosis is rare, but is clinically relevant as it indicates chronic systemic disease. Nail abnormalities can be identified radiographically, and when seen in patients with known or suspected sarcoidosis, should prompt careful evaluation of the underlying bone for osseous involvement. We describe a case of sarcoidosis with radiographic findings in the nails and distal phalangeal tufts, which were indicative of nail and osseous sarcoid involvement and strongly supported the presence of chronic systemic disease. Although the nail findings resolved clinically and on radiographs after treatment, the osseous findings showed only minimal improvement. To our knowledge, the radiographic findings of nail sarcoidosis have not been previously addressed in the literature.

Keywords

Sarcoidosis Nail Bone Hand Radiographs 

Notes

Compliance with ethical standards

Conflict of interest

No conflict of interest.

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Copyright information

© ISS 2016

Authors and Affiliations

  • Brittany K. Albers
    • 1
  • Jason C. Sluzevich
    • 2
  • Hillary W. Garner
    • 1
  1. 1.Department of RadiologyMayo ClinicJacksonvilleUSA
  2. 2.Department of DermatologyMayo ClinicJacksonvilleUSA

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