Sarcoid myopathy: Imaging findings

• Published in: Journal of clinical ultrasound Vol. 25; no. 9; pp. 515 - 517
• Main Authors: Levine, Charles D., Miller, Jeffrey J., Stanislaus, Galen, Wachsberg, Ronald H., Simmons, Marc
• Format: Journal Article
• Language: English
• Published: New York Wiley Subscription Services, Inc., A Wiley Company 01-11-1997; Wiley
• Subjects: Abdominal Muscles - diagnostic imaging; Adult; Biological and medical sciences; Genital system. Mammary gland; Humans; Investigative techniques, diagnostic techniques (general aspects); Male; Medical sciences; Muscular Atrophy - complications; Muscular Atrophy - diagnostic imaging; muscular sarcoid; myopathy; sarcoidosis; Sarcoidosis - complications; Sarcoidosis - diagnostic imaging; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis; Tomography, X-Ray Computed; Ultrasonic investigative techniques; Ultrasonography; Sonography; Human; Sarcoidosis; Diseases of the osteoarticular system; Male; Case study; Systemic disease; Echography; Abdominal wall; Adult; Complication; Diagnosis; Myopathy
• ISSN: 0091-2751; 1097-0096
• DOI: 10.1002/(SICI)1097-0096(199711/12)25:9<515::AID-JCU11>3.0.CO;2-3

Sarcoidosis is a granulomatous multisystem disorder that may uncommonly involve muscle. Muscular sarcoid may be nodular, atrophic myopathic, or acute myositic. We illustrate a case of the myopathic type of muscular sarcoid that is unusual because the abdominal wall muscles, rather than the extremity muscles, were involved. Muscular involvement by sarcoid should be considered in the differential diagnosis of focal muscle disease, especially in a patient with a known history of sarcoid. The presence of typical bilateral hilar adenopathy on a chest radiograph as well as the presence of abdominal findings (hepatosplenomegaly and retroperitoneal adenopathy) may help establish the diagnosis. Otherwise, sonographically guided biopsy may be necessary for definitive diagnosis. © 1997 John Wiley & Sons, Inc. J Clin Ultrasound 25: 515–517, 1997.