Article Text

Download PDFPDF
Sarcoid sacroiliitis: successful treatment with infliximab
  1. S Agrawal,
  2. S Bhagat,
  3. B Dasgupta
  1. Department of Rheumatology, Southend Hospital NHS Trust, Westcliff-on-Sea, UK
  1. Professor B Dasgupta, Department of Rheumatology, Southend Hospital NHS Trust, Prittlewell Chase, Westcliff-on-Sea, Essex SS0 0RY, UK; Bhaskar.Dasgupta{at}

Statistics from

In 1996, a 51-year-old woman was diagnosed as having sarcoidosis of the ethmoid sinuses with lacrimal duct involvement (bilateral hilar prominence on chest radiograph). She underwent endoscopic ethmoidectomy (histopathological evaluation of the tissue confirmed sarcoidosis) followed by a short course of systemic corticosteroids and nasal steroids with complete resolution of symptoms.

She presented again in 2005 with shortness of breath on exertion. High-resolution computed tomography of the thorax showed bilateral parenchymal changes with hilar lymphadenopathy. However, she refused to be treated with corticosteroids. Subsequently, she developed severe inflammatory low backache along with bilateral shoulder pains for which she received diclofenac. As there was no improvement in the …

View Full Text


  • Competing interests: None.

  • Patient consent: Obtained.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.