Sarcoidosis of the hands and chest

Case contributed by Muhammad Essam
Diagnosis almost certain

Presentation

A female patient complaining of hand pain

Patient Data

Age: Adult
Gender: Female

Chest

x-ray
Frontal
Lateral
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Info

CXR demonstrates prominent hilar and mediastinal lymph node enlargement. 

Both hands

x-ray
Frontal
Frontal
Frontal
Oblique
Oblique
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Info

X-ray both hands reveal bilateral asymmetrical lace-like bone resorption involving the phalanges.

Case Discussion

Classic features of sarcoidosis involvement of mediastinal lymph nodes and both hands.

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