title: "A girdle-like tightening sensation" misapprehended as abdominal splanchnopathy in a sarcoidosis patient.
abstract: 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.
authors: Cerebrovascular Division, Department of Medicine, National Cardiovascular Center, Osaka.
authors: Yusuke
authors: Y
authors: Yakushiji
authors: Kentaro
authors: K
authors: Yamada
authors: Kazuyuki
authors: K
authors: Nagatsuka
authors: Yukako
authors: Y
authors: Hashimoto
authors: Kotaro
authors: K
authors: Miyashita
authors: Hiroaki
authors: H
authors: Naritomi
mesh_terms: 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