Progressive destructive vertebral sarcoid leading to surgical fusion |
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Authors: | M Sundaram Howard Place William O Shaffer David S Martin |
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Institution: | (1) Department of Radiology, St. Louis University Health Sciences Center, 3635 Vista at Grand, St. Louis, MO 63110-0250, USA, US;(2) Department of Orthopedic Surgery, St. Louis University Health Sciences Center, St. Louis, Missouri, USA, US |
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Abstract: | Skeletal sarcoidosis is rare. This report describes a 31-year-old African American man who presented with a destructive osteolytic
lesion of C2 and another lesion in a rib. The lesion at C2 was treated with corpectomy and bone graft. Four months later the
lesion recurred and a new lesion was discovered in the cervical vertebral column. The patient declined surgery for instability
for another 3 months, choosing to remain in a halo. Seven months following the initial operation, a technetium bone scan showed
spread of the disease to the calvarium and thoracic and lumbar vertebrae. The patient had no symptoms referable to these sites.
The patient agreed to have his neck fused at this point. For the next 10 months, the patient was on steroids and a further
new lesion appeared at L5 without localizing signs or symptoms. The patient declined further evaluation over the next 12 months
and is now considered lost to follow-up.
Received: 29 July 1999 Revision requested: 26 August 1999 Revision received: 1 September 1999 Accepted: 2 September 1999 |
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Keywords: | Sarcoid vertebrae Sarcoid rib Sarcoid calvarium Osteolytic CT MRI Surgical fusion |
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