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

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HAND

Abstract

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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Acknowledgments

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.

Sources of financial support

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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Authors and Affiliations

  1. Department of Trauma and Orthopaedic Surgery, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, EH16 4SU, UK

    Andrew D. Duckworth

  2. Department of Respiratory Medicine, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, EH16 4SU, UK

    Adam T. Hill

  3. Department of Radiology, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, EH16 4SU, UK

    Ian Beggs

  4. Department of Orthopaedic Surgery, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, EH16 4SU, UK

    James T. Patton & Daniel E. Porter

  5. Department of Pathology, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, EH16 4SU, UK

    Donald M. Salter

Authors
  1. Andrew D. Duckworth
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  2. Adam T. Hill
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  3. Ian Beggs
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  4. James T. Patton
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  6. Daniel E. Porter
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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). https://doi.org/10.1007/s11552-009-9207-6

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  • DOI: https://doi.org/10.1007/s11552-009-9207-6

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