INTRODUCTION: Muscular involvement in sarcoidosis is noted in 50 to 80% of the patients when systematic muscle biopsies are carried out. Nevertheless, symptomatic forms are rare and three different types can be distinguished: nodular, chronic myopathy and acute myositis. CASE REPORT: We report a 43-year-old man who presented with sarcoidosis involving in muscles, fascia and articulations. The diagnosis of sarcoidosis was supported by magnetic resonance imaging and positron emission tomography imaging and confirmed by a muscle biopsy. Clinical manifestations resolved with corticosteroids and methotrexate. CONCLUSION: We review 23 cases of sarcoidosis myosistis most similar to ours. The commonest presentation is the involvement of the proximal limb muscles in association with elevated serum muscle enzymes.
INTRODUCTION: Muscular involvement in sarcoidosis is noted in 50 to 80% of the patients when systematic muscle biopsies are carried out. Nevertheless, symptomatic forms are rare and three different types can be distinguished: nodular, chronic myopathy and acute myositis. CASE REPORT: We report a 43-year-old man who presented with sarcoidosis involving in muscles, fascia and articulations. The diagnosis of sarcoidosis was supported by magnetic resonance imaging and positron emission tomography imaging and confirmed by a muscle biopsy. Clinical manifestations resolved with corticosteroids and methotrexate. CONCLUSION: We review 23 cases of sarcoidosis myosistis most similar to ours. The commonest presentation is the involvement of the proximal limb muscles in association with elevated serum muscle enzymes.
Authors: Renata Siciliani Scalco; Stefen Brady; Jefferson Becker; Irenio Gomes; Janice L Holton; Henrique L Staub Journal: Open Rheumatol J Date: 2015-07-10