Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Jun;14(2):e59-e67.
doi: 10.1183/20734735.018818.

Paroxysmal cough and left sacroiliac joint pain in a 50-year-old Caucasian man

Athanasia Proklou  1   2 , Maria Bolaki  1 , Evangelia E Vassalou  3 , Eleni Bibaki  1 , Eirini Vasarmidi  1 , George A Margaritopoulos  4 , Apostolos H Karantanas  3 , Nikolaos Tzanakis  1 , Katerina M Antoniou  1
Affiliations

Paroxysmal cough and left sacroiliac joint pain in a 50-year-old Caucasian man

Athanasia Proklou et al. Breathe (Sheff). 2018 Jun.

Abstract

Can you diagnose this patient with pulmonary symptoms, thoracic and laboratory test abnormalities and sacroiliac joint pain? http://ow.ly/LPyy30kaViz.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest: None declared.

Figures

Figure 1
Figure 1
a) CT axial image in a mediastinal window shows bilateral enlarged hilar lymph nodes containing amorphous calcifications (arrows). b) CT image in a lung window at the level of middle lung fields demonstrates micronodular thickening of the bronchovascular sheaths extending to the lung periphery (arrows).
Figure 2
Figure 2
MRI. a) Oblique coronal and axial T1w MRI shows multiple lesions in L4, L5, sacrum and iliac bones exhibiting a ring or double rings of low signal intensity with fatty ­element in the central part (arrows). b) Axial and c) oblique coronal STIR MRI shows the multiple lesions exhibiting high signal intensity (arrows). A reversed pattern as opposed to the T1w images is seen in some lesions. d) Axial fat-suppressed contrast-enhanced MRI shows to better advantage the ring enhancement pattern and in some lesions the additional central enhancement (arrows).
Figure 3
Figure 3
CT. a) Axial and b) coronal images show a few sclerotic marrow lesions in the bone marrow (red arrows) and generalised osteosclerosis primarily seen in the left iliac bone (white arrows).
Figure 4
Figure 4
a) Coronal T1w and b) STIR MRI shows avascular necrosis in the anterior subarticular femoral head bilaterally (arrows) and complete resolution of the old lesions.
See this image and copyright information in PMC

References

    1. Iwai K, Tachibana T, Takemura T, et al. . Pathological studies on sarcoidosis autopsy. I. Epidemiological features of 320 cases in Japan. Acta Pathol Jpn 1993; 43: 372–376. - PubMed
    1. Nunes H, Bouvry D, Soler P, et al. . Sarcoidosis. Orphanet J Rare Dis 2007; 2: 46. - PMC - PubMed
    1. Valeyre D, Prasse A, Nunes H, et al. . Sarcoidosis. Lancet 2014; 383: 1155–1167. - PubMed
    1. Giovinale M, Fonnesu C, Soriano A, et al. . Atypical sarcoidosis: case reports and review of the literature. Eur Rev Med Pharmacol Sci 2009; 13: Suppl. 1, 37–44. - PubMed
    1. Hunninghake GW, Costabel U, Ando M, et al. . ATS/ERS/WASOG statement on sarcoidosis. American Thoracic Society/European Respiratory Society/World Association of Sarcoidosis and other Granulomatous Disorders. Sarcoidosis Vasc Diffuse Lung Dis 1999; 16: 149–173. - PubMed

LinkOut - more resources