Sclerotic lesions of the cervical spine in sarcoidosis

Sarcoidosis is a common multisystem disorder characterized by noncaseating epithelial granulomata, with osseous involvement typically seen in 5% of pa tients. While the lace-like or cystic pattern frequently seen in radiograph s of the phalanges is well appreciated, sclerotic lesions of the spine are uncommon. We review a case of sarcoidosis of the cervical spine with sclero tic changes that mimicked blastic metastatic disease.