Affiliations 

  • 1 Department of Orthopedic Surgery, Faculty of Medicine and Health Sciences, University Putra Malaysia, Selangor, Malaysia
  • 2 Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea
  • 3 Department of Orthopedic Surgery, Seoul National University Bundang Hospital, Seongnam, Korea
J Rheum Dis, 2023 Jul 01;30(3):204-207.
PMID: 37476673 DOI: 10.4078/jrd.2023.0007

Abstract

Hand involvement in sarcoidosis is rare and it presents as tenosynovitis, dactylitis, nodules and osteoarticular bony destruction. We describe an unusual presentation of progressive intrinsic muscle contracture of both hands in a 42-year-old woman with sarcoid myopathy who presented with painful swelling and weakness of all four extremities. Her systemic symptoms improved with oral corticosteroids, but the hand muscle contracture remained after resolution of myositis. Serial soft tissue releases of intrinsic muscle contracture improved hand function markedly. This case highlights that surgery is a viable option to treat intrinsic muscle contracture in patients with chronic sarcoid myopathy complicated with severe muscle contracture.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.