A manifestation of severe sarcoid arthropathy in the distal interphalangeal joint

Ark, Rajiv (2020) A manifestation of severe sarcoid arthropathy in the distal interphalangeal joint. Rheumatology Advances in Practice, 4 (Supple): rkaa052.02. p. 28.

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Abstract

In 2011 a gentleman in his 50s presented with nasal blockage and bloody discharge. He was diagnosed with sarcoidosis and after 9 years of failed strategies to control his disease, he developed dactylitis. X-ray of the hands showed severe arthropathy in the distal interphalangeal joints. This case demonstrates an uncommon extrapulmonary manifestation of sarcoidosis. Although most of his follow up was with a respiratory clinic, his main symptoms were not due to interstitial lung disease, highlighting the importance of a multidisciplinary approach. To reduce the need for steroids, several DMARDs were tried illustrating that there are limited treatment options.