Sarcoid myopathy: Imaging findings

Sarcoidosis is a granulomatous multisystem disorder that may uncommonly involve muscle. Muscular sarcoid may be nodular, atrophic myopathic, or acute myositic. We illustrate a case of the myopathic type of muscular sarcoid that is unusual because the abdominal wall muscles, rather than the extremity...

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Bibliographic Details
Published in:Journal of clinical ultrasound 1997-11, Vol.25 (9), p.515-517
Main Authors: Levine, Charles D., Miller, Jeffrey J., Stanislaus, Galen, Wachsberg, Ronald H., Simmons, Marc
Format: Article
Language:English
Subjects:
Abdominal Muscles - diagnostic imaging
Adult
Biological and medical sciences
Genital system. Mammary gland
Humans
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Muscular Atrophy - complications
Muscular Atrophy - diagnostic imaging
muscular sarcoid
myopathy
sarcoidosis
Sarcoidosis - complications
Sarcoidosis - diagnostic imaging
Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis
Tomography, X-Ray Computed
Ultrasonic investigative techniques
Ultrasonography
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Description
Summary:Sarcoidosis is a granulomatous multisystem disorder that may uncommonly involve muscle. Muscular sarcoid may be nodular, atrophic myopathic, or acute myositic. We illustrate a case of the myopathic type of muscular sarcoid that is unusual because the abdominal wall muscles, rather than the extremity muscles, were involved. Muscular involvement by sarcoid should be considered in the differential diagnosis of focal muscle disease, especially in a patient with a known history of sarcoid. The presence of typical bilateral hilar adenopathy on a chest radiograph as well as the presence of abdominal findings (hepatosplenomegaly and retroperitoneal adenopathy) may help establish the diagnosis. Otherwise, sonographically guided biopsy may be necessary for definitive diagnosis. © 1997 John Wiley & Sons, Inc. J Clin Ultrasound 25: 515–517, 1997.
ISSN:0091-2751
1097-0096
DOI:10.1002/(SICI)1097-0096(199711/12)25:9<515::AID-JCU11>3.0.CO;2-3