J Rheum Dis.
2023 Jul;30(3):207-207. 10.4078/jrd.2023.0007.
Intrinsic contracture of the hands in sarcoid myopathy
- Affiliations
-
- 1Department of Orthopedic Surgery, Faculty of Medicine and Health Sciences, University Putra Malaysia, Selangor, Malaysia
- 2Department of Internal Medicine, Seoul National University Hospital, Seoul, 3 Department of Orthopedic Surgery, Seoul National University Bundang Hospital, Seongnam, Korea
- KMID: 2543947
- DOI: http://doi.org/10.4078/jrd.2023.0007
Abstract
- Hand involvement in sarcoidosis is rare and it presents as tenosynovitis, dactylitis, nodules and osteoarticular bony destruction. We describe an unusual presentation of progressive intrinsic muscle contracture of both hands in a 42-year-old woman with sarcoid myopathy who presented with painful swelling and weakness of all four extremities. Her systemic symptoms improved with oral corticosteroids, but the hand muscle contracture remained after resolution of myositis. Serial soft tissue releases of intrinsic muscle contracture improved hand function markedly. This case highlights that surgery is a viable option to treat intrinsic muscle contracture in patients with chronic sarcoid myopathy complicated with severe muscle contracture.
