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Sarcoidosis Presenting as a Proximal Phalangeal Bony Swelling—a Case and Review of the Literature

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We report a case of a 27-year-old man who presented with a progressive painful swelling at the base of his left index finger, with radiographs and a computed tomography scan revealing a lytic lesion of the proximal phalanx. Following further investigation, the patient underwent a bone biopsy that revealed a florid noncaseating granulomatous chronic inflammatory infiltrate, compatible with sarcoidosis. Osseous sarcoidosis of the hand is uncommon and, in the absence of significant systemic disease, is rarely the primary presenting feature. Early diagnosis and treatment of such undetermined bone pathology, via referral to a regional musculoskeletal tumor service, can prevent significant future complications.

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We would like to thank the Borders General Hospital Radiology Department, in particular Luis Ferrando, for invaluable assistance with the radiological images seen within this manuscript.

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No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.

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Correspondence to Andrew D. Duckworth.

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Duckworth, A.D., Hill, A.T., Beggs, I. et al. Sarcoidosis Presenting as a Proximal Phalangeal Bony Swelling—a Case and Review of the Literature. HAND 5, 90–94 (2010).

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