One involvement
in sarcoidosis is rare and often asymptomatic. The small bones of hands and
feet are the most common localizations, while skull, knee, rib, pelvic and
sternal localizations are rarely reported. Here we report a hip localization.
A 52-year-old
woman consulted for acute bilateral coxopathy. Chest radiography
objectified bilateral interstitial syndrome with mediastinal
lymphadenopathy. The X-ray of the pelvis and both hips showed no abnormalities
and CT scan revealed a moth-eaten osteolytic lesion of the left femoral head.
It was associated
with inflammatory syndrome and cholestasis. Liver biopsy revealed epithelioid
and giant cell granulomas without caseous necrosis. The pathology specimens
were interpreted as representing sarcoid.
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