title: Vertebral sarcoidosis: long-term follow-up with MRI.
abstract: Vertebral involvement in sarcoidosis is rare and its clinical and imaging features are non-specific. Indeed, because the lesions are hard to differentiate from metastatic disease based on imaging alone, a histological confirmation is advised. Fatty replacement is a well-known finding indicating stabilization and healing in both benign and malignant conditions. It can be used as an indicator of a favorable disease course and response to treatment. We report the case of a 43-year-old woman with multifocal vertebral sarcoidosis lesions and long-term follow-up showing progressive and gradual fatty involution on magnetic resonance imaging (MRI) during 4 years of steroid treatment with a final favorable outcome.
authors.affiliation: Department of Radiology, University Hospitals Gasthuisberg, Herestraat 49, 3000, Leuven, Belgium, mathieu.lefere@gmail.com.
authors.forename: M
authors.initials: M
authors.lastname: Lefere
authors.forename: A
authors.initials: A
authors.lastname: Larbi
authors.forename: J
authors.initials: J
authors.lastname: Malghem
authors.forename: B
authors.initials: B
authors.lastname: Vande Berg
authors.forename: B
authors.initials: B
authors.lastname: Dallaudière
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D003287:Contrast Media; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D005682:Gadolinium; D006801:Humans; D007089:Image Enhancement / Q000379:methods; D008159:Lumbar Vertebrae / Q000473:pathology; D008279:Magnetic Resonance Imaging / Q000379:methods*; D012507:Sarcoidosis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D017565:Sarcoidosis, Pulmonary / Q000150:complications / Q000188:drug therapy; D013122:Spinal Diseases / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D013131:Spine / Q000473:pathology*; D013904:Thoracic Vertebrae / Q000473:pathology
chemical_list: D000305:Adrenal Cortex Hormones; D003287:Contrast Media; D005682:Gadolinium