Symptomatic nodular myopathy: an atypical presentation of sarcoidosis. Issue 5 (24th May 2021)

• Record Type: Journal Article
• Authors: Ellatif, Mostafa; Bhasin, Parthdev; Urigo, Carlo; Sahu, Ajay
• Is Part Of: BMJ case reports. Volume 14:Issue 5(2021)
• Publication Date: 2021-05-24
• Subjects: pathology -- radiology -- musculoskeletal syndromes -- ultrasonography; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2020-241206
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Symptomatic myopathy is a very rare extrapulmonary manifestation of sarcoidosis that may not be readily recognised in the absence of a known history of sarcoid. Nodular myopathy is the most uncommon subtype of musclar sarcoidosis and, when encountered, establishing the diagnosis can be challenging. We present a case of symptomatic nodular myopathy as a first presentation of sarcoidosis in a young man who required a multidisciplinary approach to diagnose. The patient presented to our radiology department following a short period of flu-like illness and multiple soft tissue lesions. Biopsy of the lesions demonstrated noncaseating granulomata, and a diagnosis of sarcoidosis was established after important differential diagnoses were excluded. We present a literature review of sarcoid-related myopathy and the multimodality imaging characteristics of the different subtypes.