Disabling Bilateral Hip Disease and Femoral Bone Defects Revealing Systemic SarcoidosisBaccouche K1*, Amdoun DE, Bouzaoueche M1, Belghali S1, Zaghouani H2, Zeglaoui H1 and Bouajina E1
- *Corresponding Author:
- Baccouche K
Rheumatology Service, Hospital Farhat Hached de Sousse
Faculty of Medicine, Ibn El Jazzar of Sousse, Tunisia
Tel: +216 97121205
E-mail: [email protected]
Received date: March 21, 2017; Accepted date: April 04, 2017; Published date: April 10, 2017
Citation: Baccouche K, Amdoun DE, Bouzaoueche M, Belghali S, Zaghouani H, et al. (2017) Disabling Bilateral Hip Disease and Femoral Bone Defects Revealing Systemic Sarcoidosis. Intern Med 7:235. doi:10.4172/2165-8048.1000235
Copyright: © 2017 Baccouche K, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Introduction: Bone 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.
Case: 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.
Conclusion: Well, this observation of systemic sarcoidosis, authenticated by histological evidence, seems original mostly because of its revealing clinical presentation of the disease, with violent bilateral coxopathy and total functional disability, but also radiological, with an aspect of moth-eaten osteolysis of the femoral head. No similar cases have been reported in the literature.