Myositis as initial presentation of sarcoidosis: A rarity
Sarcoidosis is a multisystem chronic inflammation characterized by noncaseating granulomas with internal organ involvement. Lung and lymph nodes are most commonly affected with muscles are involved in up to 3% of patients. Here, we discuss a 39-year-old male patient consulted in rheumatology OPD wit...
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SAGE Publishing
2020-01-01
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| Series: | Indian Journal of Rheumatology |
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| Online Access: | http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2020;volume=15;issue=3;spage=226;epage=228;aulast=Gupta |
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| author | Mayank Gupta Lalit Duggal Neeraj Jain Bhavya Chintala |
| author_facet | Mayank Gupta Lalit Duggal Neeraj Jain Bhavya Chintala |
| author_sort | Mayank Gupta |
| collection | DOAJ |
| description | Sarcoidosis is a multisystem chronic inflammation characterized by noncaseating granulomas with internal organ involvement. Lung and lymph nodes are most commonly affected with muscles are involved in up to 3% of patients. Here, we discuss a 39-year-old male patient consulted in rheumatology OPD with chief complaints of localized swelling over the left calf since 6 months. Routine blood investigations were normal. Magnetic resonance imaging of the left thigh muscles was done which was suggestive of features of inflammatory myositis. Muscle biopsy was suggestive of epithelioid granulomas, more in favor of sarcoidosis. Contrast-enhanced computed tomography chest revealed symmetrical nodules in upper lobes of both lungs. We made a diagnosis of granulomatous myositis secondary to sarcoidosis. Steroids and azathioprine were started. The patient responded well to treatment and muscle swelling subsided. |
| format | Article |
| id | doaj-art-0a1a4400b1544315bc08627f6be73a40 |
| institution | Kabale University |
| issn | 0973-3698 0973-3701 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Indian Journal of Rheumatology |
| spelling | doaj-art-0a1a4400b1544315bc08627f6be73a402025-01-02T04:46:42ZengSAGE PublishingIndian Journal of Rheumatology0973-36980973-37012020-01-0115322622810.4103/injr.injr_183_19Myositis as initial presentation of sarcoidosis: A rarityMayank GuptaLalit DuggalNeeraj JainBhavya ChintalaSarcoidosis is a multisystem chronic inflammation characterized by noncaseating granulomas with internal organ involvement. Lung and lymph nodes are most commonly affected with muscles are involved in up to 3% of patients. Here, we discuss a 39-year-old male patient consulted in rheumatology OPD with chief complaints of localized swelling over the left calf since 6 months. Routine blood investigations were normal. Magnetic resonance imaging of the left thigh muscles was done which was suggestive of features of inflammatory myositis. Muscle biopsy was suggestive of epithelioid granulomas, more in favor of sarcoidosis. Contrast-enhanced computed tomography chest revealed symmetrical nodules in upper lobes of both lungs. We made a diagnosis of granulomatous myositis secondary to sarcoidosis. Steroids and azathioprine were started. The patient responded well to treatment and muscle swelling subsided.http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2020;volume=15;issue=3;spage=226;epage=228;aulast=Guptabiopsygranulomatous myositissarcoidosis |
| spellingShingle | Mayank Gupta Lalit Duggal Neeraj Jain Bhavya Chintala Myositis as initial presentation of sarcoidosis: A rarity Indian Journal of Rheumatology biopsy granulomatous myositis sarcoidosis |
| title | Myositis as initial presentation of sarcoidosis: A rarity |
| title_full | Myositis as initial presentation of sarcoidosis: A rarity |
| title_fullStr | Myositis as initial presentation of sarcoidosis: A rarity |
| title_full_unstemmed | Myositis as initial presentation of sarcoidosis: A rarity |
| title_short | Myositis as initial presentation of sarcoidosis: A rarity |
| title_sort | myositis as initial presentation of sarcoidosis a rarity |
| topic | biopsy granulomatous myositis sarcoidosis |
| url | http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2020;volume=15;issue=3;spage=226;epage=228;aulast=Gupta |
| work_keys_str_mv | AT mayankgupta myositisasinitialpresentationofsarcoidosisararity AT lalitduggal myositisasinitialpresentationofsarcoidosisararity AT neerajjain myositisasinitialpresentationofsarcoidosisararity AT bhavyachintala myositisasinitialpresentationofsarcoidosisararity |