Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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Sarcoid Dactylitis

수지골의 유육종증

  • Choi, In-Keun (Department of Internal Medicine, Korea University, School of Medicine) ;
  • Lee, Sin-Hyung (Department of Internal Medicine, Korea University, School of Medicine) ;
  • Lee, So-Ra (Department of Internal Medicine, Korea University, School of Medicine) ;
  • Kim, Jei-Hyung (Department of Internal Medicine, Korea University, School of Medicine) ;
  • Kwon, Young-Hwan (Department of Internal Medicine, Korea University, School of Medicine) ;
  • Lee, Seung-Yong (Department of Internal Medicine, Korea University, School of Medicine) ;
  • Lee, Sang-Youb (Department of Internal Medicine, Korea University, School of Medicine) ;
  • Cho, Jae-Youn (Department of Internal Medicine, Korea University, School of Medicine) ;
  • Shim, Jae-Jeong (Department of Internal Medicine, Korea University, School of Medicine) ;
  • In, Kwang-Ho (Department of Internal Medicine, Korea University, School of Medicine) ;
  • Yoo, Se-Hwa (Department of Internal Medicine, Korea University, School of Medicine) ;
  • Kang, Kyung-Ho (Department of Internal Medicine, Korea University, School of Medicine)
  • 최인근 (고려대학교 의과대학 내과학교실) ;
  • 이신형 (고려대학교 의과대학 내과학교실) ;
  • 이소라 (고려대학교 의과대학 내과학교실) ;
  • 김제형 (고려대학교 의과대학 내과학교실) ;
  • 권영환 (고려대학교 의과대학 내과학교실) ;
  • 이승룡 (고려대학교 의과대학 내과학교실) ;
  • 이상엽 (고려대학교 의과대학 내과학교실) ;
  • 조재연 (고려대학교 의과대학 내과학교실) ;
  • 심재정 (고려대학교 의과대학 내과학교실) ;
  • 인광호 (고려대학교 의과대학 내과학교실) ;
  • 유세화 (고려대학교 의과대학 내과학교실) ;
  • 강경호 (고려대학교 의과대학 내과학교실)
  • Published : 1998.12.30
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Abstract

The reports of sarcoidosis have increased in Korea since 1968. Osseous sarcoidosis is 3%-5% of sarcoidosis, but it is not reported upto date in Korea. So, we report a case of sarcoid dactylitis. A 47-year old woman who complained of painful swelling in her fingers was admitted in Korea University Guro Hospital. She had visited local clinics 3 years ago for chronic cough, multiple subcutaneous nodules and erythematous elevated regions on extensor sides of both extremities, and taken medicine under the diagnosis of pulmonary tuberculosis for 3 years. On admission her distal phalanges showed fusiform swelling, and multiple 1 cm-sized papules were found on the extensor area of extremities. The chest CT scan and the skin biopsy which had been performed in local clinics were reviewed to examine whether it was tuberculosis or not, but the results were compatible to sarcoidosis. So, under the impression of sarcoidosis chest CT and biopsy of hand lesions were performed again. And the patient was prescribed prednisolone 30 mg, and Hydroxychloroquine 400 mg per day, and then showed improvement of pain and skin lesions.

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