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Sarcoidosis of bone

E Neville, L S Carstairs, D G James

    The Quarterly Journal of Medicine
    |April 1, 1977
    PubMed
    Summary

    Bone sarcoidosis, affecting hands and feet in most patients, presents with lytic, permeative, or destructive lesions. This condition often occurs incidentally alongside other sarcoidosis manifestations.

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    Area of Science:

    • Rheumatology
    • Radiology
    • Pulmonology

    Background:

    • Sarcoidosis is a multisystem inflammatory disease of unknown etiology.
    • Bone involvement in sarcoidosis is uncommon but can significantly impact patient morbidity.
    • Understanding the diverse radiological manifestations of bone sarcoidosis is crucial for diagnosis and management.

    Purpose of the Study:

    • To describe the clinical and radiological features of bone sarcoidosis.
    • To characterize the different types of bone lesions observed in sarcoidosis.
    • To correlate bone involvement with other systemic manifestations of sarcoidosis.

    Main Methods:

    • Retrospective analysis of 29 patients with histologically confirmed sarcoidosis and bone involvement.
    • Review of radiological findings, including plain radiographs and CT scans.
    • Correlation of bone lesions with clinical presentation, laboratory data, and other organ involvement.

    Main Results:

    • Bone sarcoidosis was observed in 29 patients over 43 years, predominantly affecting the hands and feet (26 patients).
    • Three types of bone lesions were identified: lytic (25 patients), permeative (9 patients), and destructive (3 patients).
    • Associated systemic features included intrathoracic sarcoid (86%), lupus pernio (48%), and ocular inflammation (48%).

    Conclusions:

    • Bone sarcoidosis exhibits varied radiological patterns, with lytic lesions being the most common.
    • Bone involvement is often asymptomatic and discovered incidentally during the evaluation of systemic sarcoidosis.
    • Early recognition and characterization of bone lesions are important for comprehensive sarcoidosis management.

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