Sarcoid tenosynovitis in the hand. A case report and literature review.
We report a case of involvement of a finger flexor tendon by sarcoidosis. A review of twelve cases suggests that this is a rare manifestation of the illness that most often affects the finger extensors at the wrist. It tends to present in established sarcoidosis and is associated with a higher than usual incidence of polyarthritis. The main differential diagnosis would be tuberculous tenosynovitis. We suggest that a histological spectrum exists running from a predominantly cellular picture to one of fibrotic nodules, perhaps explaining previously described instances of pseudo-tumour. We would recommend tenosynovectomy in conjunction with corticosteroid therapy as the treatment of choice.
D005260:Female; D005385:Fingers; D006801:Humans; D008875:Middle Aged; D012507:Sarcoidosis / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D013583:Synovial Membrane / Q000473:pathology; D013710:Tendons / Q000473:pathology; D013717:Tenosynovitis / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery