Preschool sarcoidosis manifesting as juvenile rheumatoid arthritis: a case report and a review of the literature of Japanese cases.
Nine Japanese cases of sarcoidosis in children of 4 years of age or younger have been reported in the literature, including the case presented here. Clinically, preschool sarcoidosis is distinctly different from that of older children; it is characterized by a triad of skin, joint and eye lesions without pulmonary involvement. It is easily confused with juvenile rheumatoid arthritis which also presents the symptoms of arthritis and uveitis. We report on a patient with preschool sarcoidosis who was initially diagnosed as having juvenile rheumatoid arthritis. We recommend prompt skin biopsy to differentiate between these conditions.
Ukae
S
S
Department of Pediatrics, Sapporo Medical University, School of Medicine, Japan.
Tsutsumi
H
H
Adachi
N
N
Takahashi
H
H
Kato
F
F
Chiba
S
S
D001171:Arthritis, Juvenile / Q000175:diagnosis*; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007564:Japan; D012507:Sarcoidosis / Q000175:diagnosis*