Abstract
Polyarthritis is a well-recognized manifestation of sarcoidosis, but the various series of cases reported in the literature reveal considerable variation in its incidence as well as in its clinical manifestations. Three major types of sarcoid polyarthritis are defined, as distinguished by their clinical and pathological features. Two of these types are usually seen in conjunction with the subacute or transient form of sarcoidosis and, in most cases, are accompanied by erythema nodosum. They differ markedly in severity, but their prognosis is uniformly good. The third type, in contrast, is of a chronic nature and is often associated with permanent joint changes. Mild joint manifestations are a frequent finding in sarcoidosis, but more severe arthritis is relatively rare.
Two cases of sarcoidosis, presenting with severe polyarthritis, are reported in detail, and cases seen in Halifax hospitals during the period 1954 to 1964 are reviewed.
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- ANHOLT S. L. TWO CASES OF EARLY SARCOIDOSIS PRESENTING AS POLYARTHRITIS. Med Serv J Can. 1964 Jul-Aug;20:621–629. [PubMed] [Google Scholar]
- GENDEL B. R., YOUNG J. M., GREINER D. J. Sarcoidosis; a review with twenty-four additional cases. Am J Med. 1952 Feb;12(2):205–218. doi: 10.1016/0002-9343(52)90213-1. [DOI] [PubMed] [Google Scholar]
- HARVEY J. C. A myopathy of Boeck's sarcoid. Am J Med. 1959 Mar;26(3):356–363. doi: 10.1016/0002-9343(59)90244-x. [DOI] [PubMed] [Google Scholar]
- KAPLAN H., KLATSKIN G. Sarcoidosis, psoriasis, and gout: syndrome or coincidence? Yale J Biol Med. 1960 Apr;32:335–352. [PMC free article] [PubMed] [Google Scholar]
- KAPLAN H. Sarcoid arthritis with a response to colchicine: report of two cases. N Engl J Med. 1960 Oct 20;263:778–781. doi: 10.1056/NEJM196010202631603. [DOI] [PubMed] [Google Scholar]
- KATSMAN A. Polyarthritis and erythema nodosum in sarcoidosis. N Y State J Med. 1953 Jun 15;53(12):1459–1460. [PubMed] [Google Scholar]
- MIZBAH G. A MEDICAL HOLIDAY IN NIGERIA. Can Med Assoc J. 1965 Mar 20;92:620–622. [PMC free article] [PubMed] [Google Scholar]
- RAKOWER J. Sarcoidal bilateral hilar lymphoma (Lofgren's syndrome) A review of 31 cases. Am Rev Respir Dis. 1963 Apr;87:518–524. doi: 10.1164/arrd.1963.87.4.518. [DOI] [PubMed] [Google Scholar]
- RILEY E. A. Boeck's sarcoid; a review based upon a clinical study of fifty-two cases. Am Rev Tuberc. 1950 Sep;62(3):231–285. doi: 10.1164/art.1950.62.3.231. [DOI] [PubMed] [Google Scholar]
- SCASSELLATI SFORZOLINI G. The treatment of ophthalmic herpes zoster with protamide. Arch Ophthalmol. 1959 Sep;62:381–385. doi: 10.1001/archopht.1959.04220030037006. [DOI] [PubMed] [Google Scholar]
- SILTZBACH L. E., EHRLICH J. C. The Nickerson-Kveim reaction in sarcoidosis. Am J Med. 1954 Jun;16(6):790–803. doi: 10.1016/0002-9343(54)90443-x. [DOI] [PubMed] [Google Scholar]
- SOKOLOFF L., BUNIM J. J. Clinical and pathological studies of joint involvement in sarcoidosis. N Engl J Med. 1959 Apr 23;260(17):841–847. doi: 10.1056/NEJM195904232601701. [DOI] [PubMed] [Google Scholar]