PRESCHOOL SARCOIDOSIS MIMICKING JUVENILE RHEUMATOID-ARTHRITIS - THE SIGNIFICANCE OF GALLIUM SCINTIGRAPHY AND SKIN BIOPSY IN THE DIFFERENTIAL-DIAGNOSIS

Authors
SAKURAI Y NAKAJIMA M KAMISUE S NISHIMURA Y UEDA T MIYAGAWA S HARA T YOSHIOKA A
Citation
Y. Sakurai et al., PRESCHOOL SARCOIDOSIS MIMICKING JUVENILE RHEUMATOID-ARTHRITIS - THE SIGNIFICANCE OF GALLIUM SCINTIGRAPHY AND SKIN BIOPSY IN THE DIFFERENTIAL-DIAGNOSIS, Acta Paediatrica Japonica Overseas Edition, 39(1), 1997, pp. 74-78
Citations number
23
Categorie Soggetti
Pediatrics
Journal title
Acta Paediatrica Japonica Overseas Edition → ACNP
ISSN journal
03745600
Volume
39
Issue
1
Year of publication
1997
Pages
74 - 78
Database
ISI
SICI code
0374-5600(1997)39:1<74:PSMJR->2.0.ZU;2-T
Abstract
Preschool sarcoidosis occurring in children less than 6 years old is r are and characterized by the triad of skin, joint and eye manifestatio ns without any pulmonary lesion. Because of similar clinical manifesta tions, the diagnosis of preschool sarcoidosis and juvenile rheumatoid arthritis (JRA) is confusing. A girl with preschool sarcoidosis, initi ally diagnosed and treated as having JRA, is reported here. Ophthalmol ogic examinations revealed posterior involvement of the eye. A gallium scintigram of the head showed panda appearance. Biopsy of the cutaneo us lesion demonstrated non-caseating granuloma. Gallium scanning may b e an important clue to correct diagnosis.