Sarcoid tenosynovitis, rare presentation of a common disease. Case report and literature review

Al-Ani, Zeid; Oh, Teik Chooi; MacPhie, Elizabeth; Woodruff, Michael J.

doi:10.3941/jrcr.v9i8.2311

Cited by 10 publications

(5 citation statements)

References 20 publications

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“…Sarcoid tenosynovitis is rare with only 22 cases described as per a 2015 report. 7 Musculoskeletal involvement in sarcoidosis has been reported in 1 to 13% of sarcoid patients. 7 Once again, unresponsiveness to steroids led to another synovial biopsy for culture due to potential infection.…”

Section: Discussionmentioning

confidence: 99%

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Rheumatologic Perspective on Persistent Right-Hand Tenosynovitis Secondary to Mycobacterium marinum Infection

Montes-Rivera¹

2022

Federal Practitioner

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FEDERAL PRACTITIONER • e41 mdedge.com/fedprac Background: Rheumatologic conditions share many symptoms with infectious processes. The immunosuppressive therapies used in rheumatology unfavorably impact any underlying infection. Nontuberculous mycobacteria (NTM) are difficult to grow in culture media and may affect the musculoskeletal system, developing manifestations that may imitate rheumatic inflammatory arthritis. For this reason, surgical debridement and biopsy culture are essential in cases where suspicion remains high. Case Presentation: We present the case of a patient with progressively worsening right-hand tenosynovitis who was evaluated for rheumatic conditions given initial negative synovial tissue biopsy cultures. He was finally diagnosed with Mycobacterium marinum infectious tenosynovitis after repeated surgical debridement. Conclusions: Our case reinforces the vital role of history gathering in establishing diagnoses and underscores the value of clinical suspicion in patients unresponsive to standard treatment for inflammatory arthritis. Tissue biopsy with culture for acid-fast bacilli is crucial for accurate diagnosis in NTM infection, which may imitate rheumatic inflammatory arthritis. Physicians should be keenly aware of this fastidious, indolent organism in the setting of persistent localized tenosynovitis.

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Section: Discussionmentioning

confidence: 99%

“…7 Musculoskeletal involvement in sarcoidosis has been reported in 1 to 13% of sarcoid patients. 7 Once again, unresponsiveness to steroids led to another synovial biopsy for culture due to potential infection. Akin to other cases, more than one surgical debridement was required to diagnose our patient.…”

Section: Discussionmentioning

confidence: 99%

Rheumatologic Perspective on Persistent Right-Hand Tenosynovitis Secondary to Mycobacterium marinum Infection

Montes-Rivera¹

2022

Federal Practitioner

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“…Trauma, arthritis, infection, and sarcoidosis are all common conditions causing tenosynovitis [9]. Amongst the infections, M. bovis has also been described as a rare aetiology [10].…”

Section: Discussionmentioning

confidence: 99%

“…Tenosynovitis can affect several sites, such as hand, wrist, finger, elbow, ankle, and knee [8] . Trauma, arthritis, infection, and sarcoidosis are all common conditions causing tenosynovitis [9] . Amongst the infections, M. bovis has also been described as a rare aetiology [10] .…”

Section: Discussionmentioning

confidence: 99%

An undiagnosed pleural effusion with surprising consequences

Casalini

Cusmano²,

Sverzellati

et al. 2017

Respiratory Medicine Case Reports

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We present the case of a 43-year-old Italian woman with a left undiagnosed pleural effusion, which in subsequent months presented a clinically unexpected evolution with the appearance at first of a right wrist tenosynovitis and subsequently a bilateral lung involvement caused by M. Tuberculosis.With this case report, we would like to underline the importance of making a correct diagnosis of any pleural effusion as soon as possible by at least a thoracocentesis. If untreated, tuberculosis may easily disseminate to other organs. Some considerations and suggestions for antibiotic treatment of pleural effusion will also be given, since many antibiotics have some anti-tuberculosis effect and may delay the diagnosis of this infectious disease.

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“…They can present in subcutaneous tissues 36 or tendon sheets. 37 Clinical examination may only reveal myalgia with no significant deficit on muscle function. US can demonstrate a hypoechoic nodule and with no internal vascularity (►Fig.…”

Section: Sarcoid Nodulementioning

confidence: 99%

Non-neoplastic Soft Tissue Tumors and Tumor-like Lesions

Shah

Paramesparan

Robinson

et al. 2020

Semin Musculoskelet Radiol

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Clinicians are commonly faced with patients presenting with a solitary palpable soft tissue mass. Most soft tissue lesions are benign, and not every mass is due to a neoplastic process. Many pathologies can mimic a malignant tumor. Despite appropriate clinicoradiologic assessment, these lesions can be mistaken for a soft tissue sarcoma and can lead to multiple investigations or an intervention, inconveniencing patients and leading to an increased health care cost. With the relevant clinical history, clinical examination, and specific imaging characteristics, the diagnosis can be narrowed. We present a pictorial review of soft tissue sarcoma mimics with guidance on appropriate differential diagnoses.

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Sarcoid tenosynovitis, rare presentation of a common disease. Case report and literature review

Cited by 10 publications

References 20 publications

Rheumatologic Perspective on Persistent Right-Hand Tenosynovitis Secondary to Mycobacterium marinum Infection

Rheumatologic Perspective on Persistent Right-Hand Tenosynovitis Secondary to Mycobacterium marinum Infection

An undiagnosed pleural effusion with surprising consequences

Non-neoplastic Soft Tissue Tumors and Tumor-like Lesions

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