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Iliac bone defects revealing systemic sarcoidosis.

E Andres1, F Loth, B Orion

  • 1Internal medicine and nutrition department, hópital de Hautepierre, Strasbourg, France. emmanuel.andres@chru-strasbourg.fr

Joint Bone Spine
|March 10, 2001
PubMed
Summary

Sarcoidosis, a rare condition, can manifest with bone lesions. This case highlights an unusual presentation of pulmonary and bone sarcoidosis revealed by severe sacral pain and multiple iliac bone defects.

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Area of Science:

  • Rheumatology
  • Pulmonology
  • Orthopedic Oncology

Background:

  • Sarcoidosis is a multisystem inflammatory disease of unknown etiology.
  • Bone involvement in sarcoidosis is infrequent, occurring in 5-10% of patients.
  • Typical bone lesions include osteolytic lesions, often in the hands and feet.

Observation:

  • A 40-year-old male presented with severe buttock and sacral pain.
  • Clinical symptoms suggested an underlying pathology affecting the pelvis.
  • Imaging was crucial for identifying the extent of bone involvement.

Findings:

  • The patient was diagnosed with pulmonary and bone sarcoidosis.
  • Computed tomography revealed multiple "punched-out" defects in the left iliac bone.
  • This specific presentation of extensive iliac bone lesions in sarcoidosis is novel.

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Implications:

  • This case expands the known spectrum of bone sarcoidosis presentations.
  • Highlights the importance of considering sarcoidosis in patients with unexplained bone lesions.
  • Suggests the need for advanced imaging in diagnosing rare sarcoidosis manifestations.