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Cadiou S, Robin F, Guillin R, Perdriger A, Jouneau S, Belhomme N, Coiffier G, Guggenbuhl P. Spondyloarthritis and sarcoidosis: Related or fake friends? A systematic literature review. Joint Bone Spine 2020; 87:579-587. [PMID: 32622038 DOI: 10.1016/j.jbspin.2020.06.011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2020] [Accepted: 06/08/2020] [Indexed: 12/26/2022]
Abstract
BACKGROUND Sarcoidosis and spondyloarthritis (SpA) have been regularly associated. Bone iliac granulomas have also been described. We propose herein a systematic review of rheumatologic axial manifestations of sarcoidosis. METHODS PubMed and the Cochrane Library were used to conduct this systematic literature review. Case reports and cross-sectional studies were reviewed according to Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. RESULTS A total of 41 articles were eligible. Three cross-sectional studies on the association between SpA and sarcoidosis showed a prevalence of sacroiliitis and SpA ranging from 12.9 to 44.8% and 12.9 to 48.3% in inflammatory back pain (IBP) subgroups, respectively. However, the IBP definitions and sacroiliac joint (SIJ) imaging modalities (X-rays or magnetic resonance imaging) were heterogeneous, and X-ray was mainly used for sacroiliitis diagnosis (in 78% of cases). Thirty-one case-report articles of the sarcoidosis-sacroiliitis association were identified, representing 35 patients. ASAS criteria for SpA were met in half of cases (16/32) and 46% (12/26) had HLA B27 positivity. Sarcoidosis occurred after sacroiliac symptoms in 47% of cases. In the seven case-report articles with granulomatous sacroiliac bone involvement, unilateral involvement seemed higher than in the sarcoidosis-sacroiliitis group. CONCLUSION Literature analysis found a good evidence of the association between SpA and sarcoidosis, and special attention should be given to patients reporting IBP. Unilateral sacroiliitis may raise suspicion of granulomatous bone involvement, distinct from sacroiliitis. Imaging modalities used to study the SIJ in patients with sarcoidosis have been heterogeneous and further investigation is needed.
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Affiliation(s)
- Simon Cadiou
- Department of Rheumatology, Rennes University Hospital, 35000 Rennes, France.
| | - Francois Robin
- Department of Rheumatology, Rennes University Hospital, 35000 Rennes, France
| | - Raphaël Guillin
- Department of Medical Imaging, Rennes University Hospital, 35000 Rennes, France
| | - Aleth Perdriger
- Department of Rheumatology, Rennes University Hospital, 35000 Rennes, France
| | - Stéphane Jouneau
- Department of Respiratory Medicine, Rennes University Hospital, University of Rennes 1, INSERM-IRSET UMR1085, Rennes, France
| | - Nicolas Belhomme
- Internal Medicine Department, Rennes University Hospital, 35000 Rennes, France
| | - Guillaume Coiffier
- Department of Rheumatology, Rennes University Hospital, 35000 Rennes, France
| | - Pascal Guggenbuhl
- Department of Rheumatology, Rennes University Hospital, 35000 Rennes, France; CHU Rennes, Univ Rennes, INSERM, Institut NUMECAN (Nutrition Metabolisms and Cancer), UMR INSERM U 1241, University of Rennes 1, 35000 Rennes, France
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Agarwal V, Agrawal V, Aggarwal A, Aggarwal P, Chowdhury AC, Ghosh P, Jain A, Lawrence A, Misra DP, Misra R, Mohapatra MM, Nath A, Negi VS, Pandya S, Reddy VV, Prasad S, Sharma A, Shobha V, Singh YP, Tripathy SR, Wakhlu A. Arthritis in sarcoidosis: A multicentric study from India. Int J Rheum Dis 2018; 21:1728-1733. [PMID: 30187668 DOI: 10.1111/1756-185x.13349] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2018] [Accepted: 05/15/2018] [Indexed: 11/28/2022]
Affiliation(s)
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Vishnu V. Reddy
- Vizag Rheumatology and Immunology Centre; Vishakhapatnam India
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Sahli H, Bachali A, Amri R, Bouzaidi K, Tekaya R. Traitement par méthotrexate lors d’une sarcoïdose osseuse digitale multifocale : à propos d’un cas. Therapie 2018; 73:547-549. [PMID: 29980295 DOI: 10.1016/j.therap.2017.05.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2017] [Revised: 04/08/2017] [Accepted: 05/12/2017] [Indexed: 11/30/2022]
Affiliation(s)
- Hana Sahli
- Faculté de médecine de Tunis, université de Tunis El Manar, 1007 Tunis, Tunisie; Service de médecine interne, hôpital universitaire Maamouri, 8000 Nabeul, Tunisie
| | - Asma Bachali
- Faculté de médecine de Tunis, université de Tunis El Manar, 1007 Tunis, Tunisie; Laboratoire de biologie médicale, hôpital universitaire Maamouri, 8000 Nabeul, Tunisie.
| | - Raja Amri
- Service de médecine interne, hôpital universitaire Maamouri, 8000 Nabeul, Tunisie
| | - Khaled Bouzaidi
- Faculté de médecine de Tunis, université de Tunis El Manar, 1007 Tunis, Tunisie; Service de radiologie, hôpital universitaire Maamouri, 8000 Nabeul, Tunisie
| | - Rawdha Tekaya
- Faculté de médecine de Tunis, université de Tunis El Manar, 1007 Tunis, Tunisie; Service de rhumatologie, hôpital Charles-Nicolle, 1006 Tunis, Tunisie
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Madureira P, Pimenta S, Cardoso H, Guimarães Cunha R, Costa L. Sarcoidosis: An unusual presentation. REUMATOLOGIA CLINICA 2017; 13:227-229. [PMID: 27068192 DOI: 10.1016/j.reuma.2016.03.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/07/2016] [Accepted: 03/01/2016] [Indexed: 06/05/2023]
Abstract
A 35-year-old man presented with a 3-year history of arthralgia and purple coloration of the skin of his fingers and feet. Hand and foot radiography showed cystic bone lesions on phalanges suggestive of sarcoidosis. Lab tests revealed increased liver enzymes. Liver MRI evidenced an enlarged liver and retroperitoneal lymphadenopathy. Histological analysis of the finger skin, lymph nodes and liver demonstrated the presence of granulomas, confirming the diagnosis of sarcoidosis. The patient started prednisolone with rapid improvement of the symptoms. Skin lesions are divided into two groups: specific for sarcoidosis (with granulomas, lupus pernio-like) and nonspecific (without granulomas, erythema nodosum-like). Specific cutaneous lesions usually cause no other symptoms beyond cosmetic changes. Lupus pernio stands out for having distinctive features but, to the best of our knowledge, the simultaneous involvement of both hands and feet has never been reported.
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Affiliation(s)
- Pedro Madureira
- Rheumatology Department, Centro Hospitalar de São João, Porto, Portugal; Rheumatology Department, Faculdade de Medicina da Universidade do Porto, Porto, Portugal.
| | - Sofia Pimenta
- Rheumatology Department, Centro Hospitalar de São João, Porto, Portugal; Rheumatology Department, Faculdade de Medicina da Universidade do Porto, Porto, Portugal
| | - Hélder Cardoso
- Gastrenterology Department, Centro Hospitalar de São João, Porto, Portugal
| | | | - Lúcia Costa
- Rheumatology Department, Centro Hospitalar de São João, Porto, Portugal
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Des lésions des doigts. Rev Med Interne 2014; 35:769-71. [DOI: 10.1016/j.revmed.2013.12.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2013] [Accepted: 12/21/2013] [Indexed: 11/22/2022]
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Banse C, Bisson-Vaivre A, Kozyreff-Meurice M, Vittecoq O, Goëb V. No impact of tumor necrosis-factor antagonists on the joint manifestations of sarcoidosis. Int J Gen Med 2013; 6:605-11. [PMID: 23901289 PMCID: PMC3724565 DOI: 10.2147/ijgm.s44542] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
Objective The use of anti-tumor necrosis factor (TNF) agents to treat joint manifestations of sarcoidosis has not been described. We evaluated the efficacy and safety of three such biologics in patients with these symptoms refractory to conventional therapy (nonsteroidal anti-inflammatory drugs, corticosteroids, and/or disease-modifying antirheumatic drugs). Methods This retrospective study, covering January 2001 to September 2011, examined clinical–biological parameters collected before anti-TNF treatment (age, sex, duration of disease evolution, drugs taken), and at introduction and under anti-TNF therapy (number of painful and swollen joints, visual analog scale score of global disease activity, disease-activity score of 28 joints with erythrocyte sedimentation rate or C-reactive protein, TNF-antagonist duration). At 3, 6, and 12 months, anti-TNF impact on joints and the therapeutic response according to European League Against Rheumatism criteria used for rheumatoid arthritis were assessed. Results Ten patients’ data were evaluated; some of them had received several anti-TNF agents (median [range] duration on each biotherapy was 10 [4–30] months), which enabled analysis of 19 prescriptions. The total duration of anti-TNF exposure was 17.6 patient-years, which was started a median of 3 (0.33–17) years after sarcoidosis diagnosis. The median numbers of painful and swollen joints were 1 (0–28) and 0 (0–9), respectively. Despite rapid efficacy, after 1 year of treatment, clinical (especially joint) and biological parameters were comparable to pretreatment, and only the corticosteroid dose was significantly lower (P=0.03). One case of mild skin toxicity was noted. Conclusion TNF antagonists allowed significant steroid sparing and were well tolerated, but do not seem to be effective against sarcoidosis joint involvement.
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El Fares N, El Bouihi M, Zouhair K, El Kabli H, Benchikhi H. [Maxillary bone sarcoidosis]. ACTA ACUST UNITED AC 2011; 112:121-4. [PMID: 21429541 DOI: 10.1016/j.stomax.2011.02.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2010] [Revised: 01/03/2011] [Accepted: 02/17/2011] [Indexed: 11/17/2022]
Abstract
INTRODUCTION Sarcoidosis is an unexplained systemic granulomatosis. Bone localizations of the disease are rare. We report a maxillary localization. CASE A 35-year-old patient consulted for facial dysmorphia first observed 2 years before. This swelling was associated to nodular panniculitis lesions and xerostomia. The facial asymmetry was due to maxillary gingival and alveolar swelling. It was associated with scarring in the legs and a purple nodular facial lesion. Lip and jaw biopsies revealed epithelioid and giant cell granulomas without caseous necrosis. The panoramic dental X-ray showed diffuse horizontal alveolar ridge lysis and CT scan revealed an osteolytic lesion of the right maxilla associated to a bone-condensing lesion of the left hemi-mandible. DISCUSSION The diagnosis of sarcoidosis is made in case of epithelioid and giant cell granulomas without caseous necrosis and the ruling out of other possible diagnoses, including tuberculosis. Bone involvement is rare; face and maxillary localization are extremely rare. The recommended treatment is corticosteroids. Facial remodeling surgery is not recommended.
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Affiliation(s)
- N El Fares
- Service de dermatologie et vénéréologie, CHU Ibn Rochd, Casablanca, Maroc.
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El Ouazzani FZ, Tahiri L, Akasbi N, Kadi N, Harzy T. [Sarcoidosis and ankylosing spondylitis: a rare association]. Pan Afr Med J 2011; 8:23. [PMID: 22121432 PMCID: PMC3201588 DOI: 10.4314/pamj.v8i1.71080] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2010] [Accepted: 03/09/2011] [Indexed: 11/17/2022] Open
Abstract
L’association spondylarthrite ankylosante et sarcoïdose est rare, seize cas ont été publiés dans la littérature, nous en rapportons un nouveau cas. Cette association qui pose des problèmes diagnostiques est probablement fortuite du fait de l’absence de facteurs génétiques prédisposant partagés et du petit nombre des cas publiés, mais elle suggère l’hypothèse d’une liaison physiopathologique entre eux.
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Localisations extrathoraciques graves de la sarcoïdose. Rev Med Interne 2011; 32:80-5. [DOI: 10.1016/j.revmed.2010.08.024] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2010] [Accepted: 08/27/2010] [Indexed: 11/21/2022]
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Karkowski L, Carassou P, Debourdeau P, Crevon L, Pavic M. [A finger osteolysis]. Rev Med Interne 2007; 29:63-4. [PMID: 17651870 DOI: 10.1016/j.revmed.2007.06.014] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2007] [Accepted: 06/11/2007] [Indexed: 11/24/2022]
Affiliation(s)
- L Karkowski
- Service de médecine, hôpital d'instruction des armées Desgenettes, 108 boulevard Pinel, Lyon, France.
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Kumar S. Bilateral ankle edema with bilateral iritis. Clin Rheumatol 2006; 26:1145-7. [PMID: 16633708 DOI: 10.1007/s10067-006-0271-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2006] [Revised: 02/15/2006] [Accepted: 02/22/2006] [Indexed: 11/29/2022]
Abstract
I report two patient presented to me with bilateral symmetrical ankle edema and bilateral acute iritis. A 42-year-old female of Indian origin and 30-year-old female from Somalia both presented with bilateral acute iritis. In the first patient, bilateral ankle edema preceded the onset of bilateral acute iritis. Bilateral ankle edema developed during the course of disease after onset of ocular symptoms in the second patient. Both patients did not suffer any significant ocular problem in the past, and on systemic examination, all clinical parameters were within normal limit. Lacrimal gland and conjunctival nodule biopsy established the final diagnosis of sarcoidosis in both cases, although the chest x-rays were normal.
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Affiliation(s)
- Sunil Kumar
- Department of Ophthalmology, Mohammad Dossary Hospital, PO Box 335 Al Khobar 31952, Kingdom of Saudi Arabia.
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