"A girdle-like tightening sensation" misapprehended as abdominal splanchnopathy in a sarcoidosis patient.
We describe a 53-year-old man with the isolated manifestation of girdle-like tightening sensation of the trunk due to polyradiculopathy at the beginning of sarcoidosis which was first misapprehended as abdominal splanchnopathy. Late development of other neurological and systemic symptoms led to the final diagnosis of sarcoidosis. Segmental dysesthesia at the trunk in neurosarcoidosis is unique and may mimic a splanchnic pain. Such a dysesthesia may be solely manifested at the beginning of sarcoidosis and may continue for days without other symptoms. When patients complain of a girdle-like tightening with unknown etiology, sarcoidosis should be suspected as the possible cause.
Yakushiji
Yusuke
Y
Cerebrovascular Division, Department of Medicine, National Cardiovascular Center, Osaka.
Yamada
Kentaro
K
Nagatsuka
Kazuyuki
K
Hashimoto
Yukako
Y
Miyashita
Kotaro
K
Naritomi
Hiroaki
H
D000005:Abdomen / Q000000981:diagnostic imaging / Q000294:innervation*; D001706:Biopsy; D003937:Diagnosis, Differential; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D008875:Middle Aged; D011129:Polyradiculoneuropathy / Q000150:complications* / Q000175:diagnosis; D011877:Radionuclide Imaging; D017565:Sarcoidosis, Pulmonary / Q000150:complications* / Q000175:diagnosis; D012678:Sensation Disorders / Q000175:diagnosis / Q000209:etiology*; D012867:Skin / Q000473:pathology; D012871:Skin Diseases / Q000150:complications* / Q000175:diagnosis; D013153:Splanchnic Nerves; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography