Korean J Dermatol.
1999 Oct;37(10):1479-1482.
A Case of Sarecoid Dactylitis
- Affiliations
-
- 1Department of Dermatology, College of Medicine, Korea University, Seoul, Korea.
- 2Department of Pulmonology, College of Medicine, Korea University, Seoul, Korea.
Abstract
- We report a case of sarcoid dactylitis in which there have been significant bone changes. A 46 year-old female presented with digital erythematous clubbing-like changes and sausage-like swellings of middle phalanges of both hands for 3 months. She had also several freely movable nontender subcutaneous nodules on her trunk and extremities for 3 years. There was a mild leukopenia and decreased cell-mediated immunity. The chest X-ray revealed bilateral hilar lymphadenopathy with increased interstitial lung markings. The X-ray of the hands and feet revealed paraarticular osteolytic lesions and altered trabecular patterns. Histopathologically there were several well-circumscribed granulomas without any caseating necrosis. We treated her with oral prednisone and hydroxychloroquine with some improvement.
