title: Dactylitis and bone lesions at the onset of sarcoidosis: a case report.
abstract: Dactylitis and bone lesions are rare complications of sarcoidosis that occur in the chronic disease and they are unusual features of the disease at presentation. The present paper describes a case of a 28-year-old woman with dactylitis (due to tenosynovitis and soft tissue granulomas) and phalangeal bone lesions in 2 fingers at the onset of sarcoidosis. She also had asymptomatic pulmonary type I sarcoidosis (bihilar lymph node enlargement with no involvement of the lung parenchyma). The response to treatment (prednisone 30 mg/day, tapered to 5 mg over 2 months for a 12-month period) was very good, with no relapse at 6 months after the end of systemic treatment.
authors.affiliation: 2nd Internal Medicine Clinic, University of Medicine and Pharmacy, Cluj-Napoca, Romania.
authors.forename: Daniela
authors.initials: D
authors.lastname: Fodor
authors.forename: Laura
authors.initials: L
authors.lastname: Poanta
authors.forename: Liliana
authors.initials: L
authors.lastname: Rogojan
mesh_terms: D000328:Adult; D004305:Dose-Response Relationship, Drug; D005260:Female; D005384:Finger Joint / Q000000981:diagnostic imaging / Q000473:pathology*; D005385:Fingers / Q000000981:diagnostic imaging / Q000473:pathology*; D005938:Glucocorticoids / Q000008:administration & dosage; D006099:Granuloma / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D011241:Prednisone / Q000008:administration & dosage; D011859:Radiography; D017565:Sarcoidosis, Pulmonary / Q000150:complications* / Q000188:drug therapy; D013717:Tenosynovitis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D016896:Treatment Outcome
chemical_list: D005938:Glucocorticoids; D011241:Prednisone