Sarcoid dactylitis in black South African patients
Six black South Africans with sarcoid dactylitis are described. By the term sarcoid dactylitis we mean sarcoid involvement of the bone and soft tissue of the fingers. Three of the six patients developed dactylitis during the course of chronic sarcoid. These patients had multisystem disease. In all t...
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| Veröffentlicht in: | Seminars in arthritis and rheumatism 1985-05, Vol.14 (4), p.232-237 |
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| container_title | Seminars in arthritis and rheumatism |
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| creator | Leibowitz, M.R. Essop, A.R. Schamroth, C.L. Blumsohn, D. Smith, E.H. |
| description | Six black South Africans with sarcoid dactylitis are described. By the term sarcoid dactylitis we mean sarcoid involvement of the bone and soft tissue of the fingers. Three of the six patients developed dactylitis during the course of chronic sarcoid. These patients had multisystem disease. In all three patients dactylitis developed after the diagnosis of sarcoid was established. However, in the other three patients dactylitis was the presenting feature of sarcoidosis, and none of these patients had evidence of chronic fibrotic sarcoid elsewhere. This finding is at variance with the observation that bony sarcoid is always a feature of chronic, poor prognosis, fibrotic sarcoid of all organ systems; these patients may form a sub-group with bony involvement and good prognosis. The significance, however, of this latter localized presentation of sarcoid is that clinically and histologically it is easly confused with tuberculoid leprosy and has been misdiagnosed. |
| doi_str_mv | 10.1016/0049-0172(85)90042-3 |
| format | Article |
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By the term sarcoid dactylitis we mean sarcoid involvement of the bone and soft tissue of the fingers. Three of the six patients developed dactylitis during the course of chronic sarcoid. These patients had multisystem disease. In all three patients dactylitis developed after the diagnosis of sarcoid was established. However, in the other three patients dactylitis was the presenting feature of sarcoidosis, and none of these patients had evidence of chronic fibrotic sarcoid elsewhere. This finding is at variance with the observation that bony sarcoid is always a feature of chronic, poor prognosis, fibrotic sarcoid of all organ systems; these patients may form a sub-group with bony involvement and good prognosis. The significance, however, of this latter localized presentation of sarcoid is that clinically and histologically it is easly confused with tuberculoid leprosy and has been misdiagnosed.</description><identifier>ISSN: 0049-0172</identifier><identifier>EISSN: 1532-866X</identifier><identifier>DOI: 10.1016/0049-0172(85)90042-3</identifier><identifier>PMID: 4081788</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; African Americans ; African Continental Ancestry Group ; Bone Cysts - diagnosis ; Diagnosis, Differential ; Fingers ; Granuloma - diagnosis ; Humans ; Leprosy - diagnosis ; Middle Aged ; Sarcoidosis - diagnosis ; South Africa ; Tuberculosis - diagnosis</subject><ispartof>Seminars in arthritis and rheumatism, 1985-05, Vol.14 (4), p.232-237</ispartof><rights>1985</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c357t-621949060ab6b3003f5d122e51a4b9ab4c12cf669bfbcf9d3a8954a9581bcf023</citedby><cites>FETCH-LOGICAL-c357t-621949060ab6b3003f5d122e51a4b9ab4c12cf669bfbcf9d3a8954a9581bcf023</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0049-0172(85)90042-3$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/4081788$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Leibowitz, M.R.</creatorcontrib><creatorcontrib>Essop, A.R.</creatorcontrib><creatorcontrib>Schamroth, C.L.</creatorcontrib><creatorcontrib>Blumsohn, D.</creatorcontrib><creatorcontrib>Smith, E.H.</creatorcontrib><title>Sarcoid dactylitis in black South African patients</title><title>Seminars in arthritis and rheumatism</title><addtitle>Semin Arthritis Rheum</addtitle><description>Six black South Africans with sarcoid dactylitis are described. By the term sarcoid dactylitis we mean sarcoid involvement of the bone and soft tissue of the fingers. Three of the six patients developed dactylitis during the course of chronic sarcoid. These patients had multisystem disease. In all three patients dactylitis developed after the diagnosis of sarcoid was established. However, in the other three patients dactylitis was the presenting feature of sarcoidosis, and none of these patients had evidence of chronic fibrotic sarcoid elsewhere. This finding is at variance with the observation that bony sarcoid is always a feature of chronic, poor prognosis, fibrotic sarcoid of all organ systems; these patients may form a sub-group with bony involvement and good prognosis. The significance, however, of this latter localized presentation of sarcoid is that clinically and histologically it is easly confused with tuberculoid leprosy and has been misdiagnosed.</description><subject>Adolescent</subject><subject>African Americans</subject><subject>African Continental Ancestry Group</subject><subject>Bone Cysts - diagnosis</subject><subject>Diagnosis, Differential</subject><subject>Fingers</subject><subject>Granuloma - diagnosis</subject><subject>Humans</subject><subject>Leprosy - diagnosis</subject><subject>Middle Aged</subject><subject>Sarcoidosis - diagnosis</subject><subject>South Africa</subject><subject>Tuberculosis - diagnosis</subject><issn>0049-0172</issn><issn>1532-866X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1985</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtLAzEUhYMotVb_gcKsRBejeUxeG6EUX1BwUQV3IckkGJ3O1CQj9N87taVLV5fDPedc7gfAOYI3CCJ2C2ElS4g4vhL0Wg4Kl-QAjBEluBSMvR-C8d5yDE5S-oQQIQb5CIwqKBAXYgzwQkfbhbqotc3rJuSQitAWptH2q1h0ff4opj4Gq9tipXNwbU6n4MjrJrmz3ZyAt4f719lTOX95fJ5N56UllOeSYSQrCRnUhhkCIfG0Rhg7inRlpDaVRdh6xqTxxnpZEy0krbSkAg0aYjIBl9veVey-e5eyWoZkXdPo1nV9UpxRyjlng7HaGm3sUorOq1UMSx3XCkG1QaU2HNSGgxJU_aFSZIhd7Pp7s3T1PrRjM-zvtns3PPkTXFTJDgCsq0N0Nqu6C_8f-AV8LHbA</recordid><startdate>198505</startdate><enddate>198505</enddate><creator>Leibowitz, M.R.</creator><creator>Essop, A.R.</creator><creator>Schamroth, C.L.</creator><creator>Blumsohn, D.</creator><creator>Smith, E.H.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198505</creationdate><title>Sarcoid dactylitis in black South African patients</title><author>Leibowitz, M.R. ; Essop, A.R. ; Schamroth, C.L. ; Blumsohn, D. ; Smith, E.H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c357t-621949060ab6b3003f5d122e51a4b9ab4c12cf669bfbcf9d3a8954a9581bcf023</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1985</creationdate><topic>Adolescent</topic><topic>African Americans</topic><topic>African Continental Ancestry Group</topic><topic>Bone Cysts - diagnosis</topic><topic>Diagnosis, Differential</topic><topic>Fingers</topic><topic>Granuloma - diagnosis</topic><topic>Humans</topic><topic>Leprosy - diagnosis</topic><topic>Middle Aged</topic><topic>Sarcoidosis - diagnosis</topic><topic>South Africa</topic><topic>Tuberculosis - diagnosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Leibowitz, M.R.</creatorcontrib><creatorcontrib>Essop, A.R.</creatorcontrib><creatorcontrib>Schamroth, C.L.</creatorcontrib><creatorcontrib>Blumsohn, D.</creatorcontrib><creatorcontrib>Smith, E.H.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Seminars in arthritis and rheumatism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Leibowitz, M.R.</au><au>Essop, A.R.</au><au>Schamroth, C.L.</au><au>Blumsohn, D.</au><au>Smith, E.H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sarcoid dactylitis in black South African patients</atitle><jtitle>Seminars in arthritis and rheumatism</jtitle><addtitle>Semin Arthritis Rheum</addtitle><date>1985-05</date><risdate>1985</risdate><volume>14</volume><issue>4</issue><spage>232</spage><epage>237</epage><pages>232-237</pages><issn>0049-0172</issn><eissn>1532-866X</eissn><abstract>Six black South Africans with sarcoid dactylitis are described. By the term sarcoid dactylitis we mean sarcoid involvement of the bone and soft tissue of the fingers. Three of the six patients developed dactylitis during the course of chronic sarcoid. These patients had multisystem disease. In all three patients dactylitis developed after the diagnosis of sarcoid was established. However, in the other three patients dactylitis was the presenting feature of sarcoidosis, and none of these patients had evidence of chronic fibrotic sarcoid elsewhere. This finding is at variance with the observation that bony sarcoid is always a feature of chronic, poor prognosis, fibrotic sarcoid of all organ systems; these patients may form a sub-group with bony involvement and good prognosis. The significance, however, of this latter localized presentation of sarcoid is that clinically and histologically it is easly confused with tuberculoid leprosy and has been misdiagnosed.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>4081788</pmid><doi>10.1016/0049-0172(85)90042-3</doi><tpages>6</tpages></addata></record> |
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| ispartof | Seminars in arthritis and rheumatism, 1985-05, Vol.14 (4), p.232-237 |
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| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adolescent African Americans African Continental Ancestry Group Bone Cysts - diagnosis Diagnosis, Differential Fingers Granuloma - diagnosis Humans Leprosy - diagnosis Middle Aged Sarcoidosis - diagnosis South Africa Tuberculosis - diagnosis |
| title | Sarcoid dactylitis in black South African patients |
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