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Acute sarcoid arthritis: a favourable outcome? A retrospective survey of 49 patients with review of the literature

  [ 28 votes ]   [ Discuss This Article ]
www.ProHealth.com • March 15, 1996


Forty-nine patients, 30 males and 19 females with acute
sarcoid arthritis admitted to three different hospitals in
Norway were studied retrospectively. All patients had
peripheral arthritis and hilar adenopathy, and 87.8% also
presented with erythema nodosum (EN). Mean duration of
arthritis was 3.7 months (0.5-12 months), but in 26% of the
cases, duration of the inflammatory joint disease exceeded
three months. Radiological bony erosions were not seen. Two
patients had recurrence of acute sarcoid arthritis, 14 months
and 10 years after the initial episode, respectively. Two
other patients developed chronic myalgia and fibromyalgia.
Four patients, one female and three males, developed chronic
pulmonal sarcoidosis. Of these, two patients had simultaneous
onset of acute sarcoid arthritis and parenchymal disease
while two patients developed chronic lung disease three
months after onset of acute sarcoid arthritis. We thus
tentatively suggest that although acute sarcoid arthritis is
usually a self-limiting joint disease, recurrences may
occasionally occur and some cases develop chronic sarcoidosis
of the lungs.

Gran JT, Bohmer E




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