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Chronic Inflammatory Arthropathy Preceding Acute Systemic Manifestations of Sarcoidosis: A Possible Overlap of Idiopathic Juvenile Arthritis and Sarcoidosis
Joint Authors
Vieira, Matheus Campello
Tosta, Priscilla Gomes
Nicole, Fernanda Morello
Roberto, Lucas Enock V.
Vianna, Júlia Guasti P.
Castro, Paulo de Coelho
Lourenço, Rafael Burgomeister
Serrano, Erica Vieira
Luchi, Weverton Machado
Valim, Valéria
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-12-07
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Sarcoidosis is a multisystem disease with unknown etiology, marked by T lymphocytes and macrophages agglomeration, which leads to the formation of noncaseating granulomas in the affected tissues.
We describe a case of a 40-year-old black patient referred to our service for evaluation of nephrolithiasis and persistent elevation of plasma creatinine.
He reported important weight loss, fever episodes, and abdominal and low back intermittent pain in the past 6 months.
The investigation revealed elevated serum calcium level, hepatosplenomegaly, retroperitoneal lymphadenopathy, anemia, thrombocytopenia, and nephrolithiasis.
The initial diagnostic hypothesis was lymphoproliferative disease, but the laparoscopic propaedeutic showed multiple white lesions on the liver surface, which biopsy identified as noncaseating granulomas with asteroid corpuscles, suggestive of sarcoidosis.
He was treated with corticosteroids with significant improvement in symptoms and in calcium and creatinine levels.
Besides, the patient presented a long-term large joints arthropathy, especially on the knees (with bilateral prosthesis), wrists, and ankles, of unknown etiology.
We discuss the systemic manifestations of sarcoidosis related to the reported case, as well as the possible overlapping of idiopathic juvenile arthritis with sarcoidosis.
American Psychological Association (APA)
Vieira, Matheus Campello& Tosta, Priscilla Gomes& Nicole, Fernanda Morello& Roberto, Lucas Enock V.& Vianna, Júlia Guasti P.& Castro, Paulo de Coelho…[et al.]. 2019. Chronic Inflammatory Arthropathy Preceding Acute Systemic Manifestations of Sarcoidosis: A Possible Overlap of Idiopathic Juvenile Arthritis and Sarcoidosis. Case Reports in Rheumatology،Vol. 2019, no. 2019, pp.1-8.
https://search.emarefa.net/detail/BIM-1144272
Modern Language Association (MLA)
Vieira, Matheus Campello…[et al.]. Chronic Inflammatory Arthropathy Preceding Acute Systemic Manifestations of Sarcoidosis: A Possible Overlap of Idiopathic Juvenile Arthritis and Sarcoidosis. Case Reports in Rheumatology No. 2019 (2019), pp.1-8.
https://search.emarefa.net/detail/BIM-1144272
American Medical Association (AMA)
Vieira, Matheus Campello& Tosta, Priscilla Gomes& Nicole, Fernanda Morello& Roberto, Lucas Enock V.& Vianna, Júlia Guasti P.& Castro, Paulo de Coelho…[et al.]. Chronic Inflammatory Arthropathy Preceding Acute Systemic Manifestations of Sarcoidosis: A Possible Overlap of Idiopathic Juvenile Arthritis and Sarcoidosis. Case Reports in Rheumatology. 2019. Vol. 2019, no. 2019, pp.1-8.
https://search.emarefa.net/detail/BIM-1144272
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1144272