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Revue du rhumatisme
Volume 68, n° 1
pages 84-86 (janvier 2001)
Received : 17 July 2000 ;  accepted : 25 October 2000
Lacunes osseuses iliaques révélatrices d'une sarcoïdose systémique
Iliac bone defects revealing systemic sarcoidosis.

Emmanuel  Andrès 1 ,  François  Loth 2 ,  Bernard  Orion 3 ,  Luc  Marcellin 4 ,  Jean  Durckel 5
1Service de médecine interne et nutrition, hôpital de Hautepierre, avenue Molière, 67098 Strasbourg cedex, France 
2service de médecine, hôpital général, 67700 Saverne, France 
3service de pneumologie, hôpital général, 67700 Saverne, France 
4service d'anatomopathologie, hôpital de Hautepierre, avenue Molière, 67098 Strasbourg cedex, France 
5service de radiologie, hôpital de Hautepierre, avenue Molière, 67098 Strasbourg cedex, France 

Correspondance et tirés à part
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Les localisations osseuses de la sarcoïdose sont relativement rares (5 à 10 %). Nous rapportons chez un homme de 40 ans une observation de sarcoïdose pulmonaire et osseuse, révélée par de violentes douleurs fessières et sacrées et de multiples lacunes à « l'emporte-pièce » de l'os iliaque gauche sur le scanner du bassin. Cette observation nous semble originale car une telle présentation clinique et radiologique n'a jamais été rapportée.

Mots clés  : os ; sarcoïdose ; scanner.

Abstract

Bone lesions are fairly uncommon in sarcoidosis (5 to 10% of cases). We report the case of a 40-year-old man in whom sarcoidosis of the lungs and bones was revealed by excruciating buttock and sacral pain. Computed tomography showed multiple punched-out defects in the left iliac bone. No similar cases have been reported in the literature.

Mots clés  : bone ; computed tomography ; sarcoidosis.




© 2001  Éditions scientifiques et médicales Elsevier SAS. All Rights Reserved.

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