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Solitary subcutaneous sarcoidosis with massive chronic prepatellar bursal involvement

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Abstract

A 56-year-old man presented with a painless prepatellar mass of the left knee. MR images demonstrated a large, well-defined mass with heterogeneous intermediate signal intensity on T1- and proton density-weighted images. Mild, heterogeneous enhancement was noted after the intravenous administration of gadolinium. Diagnostic imaging included atypical soft-tissue infection, fibrogranulomatous reaction, gouty tophus, rheumatoid nodule and xanthoma or possibly malignancy. The histopathological examination revealed sarcoidosis involving the prepatellar bursa.

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Acknowledgements

Eric Y. Chang, MD, gratefully acknowledges grant support from the VA Clinical Science Research and Development Career Development Award (IK2CX000749).

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Authors and Affiliations

  1. Department of Diagnostic and Therapeutic Radiology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Rachathewi, Bangkok, Thailand, 10400

    Thumanoon Ruangchaijatuporn

  2. Radiology Service, VA San Diego Healthcare System, San Diego, CA, 92161, USA

    Eric Y. Chang & Christine B. Chung

  3. Department of Radiology, University of California, San Diego Medical Center, San Diego, CA, 92103, USA

    Eric Y. Chang & Christine B. Chung

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  1. Thumanoon Ruangchaijatuporn
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  2. Eric Y. Chang
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  3. Christine B. Chung
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Correspondence to Thumanoon Ruangchaijatuporn.

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Ruangchaijatuporn, T., Chang, E.Y. & Chung, C.B. Solitary subcutaneous sarcoidosis with massive chronic prepatellar bursal involvement. Skeletal Radiol 45, 1741–1745 (2016). https://doi.org/10.1007/s00256-016-2494-4

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  • DOI: https://doi.org/10.1007/s00256-016-2494-4

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