BMJ Case Reports 2018; doi:10.1136/bcr-2017-224064
  • Images in…

Resolution of osseous sarcoidosis with steroids

  1. Lee Edmonds4
  1. 1Division of Hospital Medicine, Henry Ford Health System, Detroit, Michigan, USA
  2. 2Geisinger Health System, Danville, Pennsylvania, USA
  3. 3Beaumont Health System, Royal Oak, Michigan, USA
  4. 4Bassett Medical Center, Cooperstown, New York, USA
  1. Correspondence to Dr Kulothungan Gunasekaran, stankuloth{at}
  • Accepted 25 February 2018
  • Published 13 March 2018


A 56-year-old man with a 10-pack-year history of smoking presented to the clinic with left hip pain. He was treated symptomatically with pain medications. With persistence of symptoms and normal preliminary laboratory results, he underwent MRI of the pelvis which showed lytic lesions suggestive of metastatic disease (figure 1A). Further imaging including CT of the chest revealed bilateral hilar and mediastinal adenopathy along with splenomegaly but no parenchymal lung involvement. Mediastinoscopy with lymph node biopsy showed non-caseating granuloma, and left …

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