chronic arthritis revealing sarcoidosis in a patient exposed to silica

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Published Jun 18, 2018
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Vol. 96 No. 1 (2018): Issue Jan 2018

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Saoussen Bacha
Améni sghaier
Sonia Habibech
Sana Cheikhrouhou
Hager Racil
Naouel Chaouch
Mohamed Fethi Ladeb
Abdellatif Chabbou

Abstract

Sarcoidosis is a systematic, granulomatous disease of unknown cause which can affect any organ in the body. Pulmonary involvement is the most common. Musculoskeletal manifestations of sarcoidosis are less common affecting 10-25% of patients and chronic arthritis occurs rarely. We report the case of sarcoidosis revealed by left knee chronic and destructive monoarthritis with only asymptomatic pulmonary involvement in a Caucasian male miner exposed to silica. The patient was treated with corticosteroids during 2 years after diagnosis. In addition, arthroplasty with total left knee prosthesis was performed. The patient is well without any recurrence of symptoms of the musculoskeletal system for a 2 years follow-up period after surgery.

Keywords:

sarcoidosis; chronic arthritis; silica

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