Unusual and memorable
| The first 150 words of the full text of this article appear below. |
A 40 year old black women presented with pronounced soft tissue swelling of several fingers and toes, with tenderness and restriction of involved interphalangeal joints. A few patches of indurated depigmented skin were also noted. Radiographs revealed gross soft tissue swelling with deforming erosion and resorption of phalanges (figure). Osseous involvement in chronic sarcoidosis occurs in about 5% of all patients. The most characteristic clinical picture is dactylitis resulting from granulomatous cyst formation in the phalanges where it may be the presenting feature of the disease particularly in black patients.1 Numerous radiographic features have been described including expanded phalanges with thin cortical bone and cyst-like spaces, round or oval punched out areas, and fine lattice-like configuration. Periostial reaction is rare.
| Figure Removed (Available Only in the Full Text) |
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
- Full Text
- Full Text (PDF)
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
Services
- Email this link to a friend
- Similar articles in this journal
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
