"A girdle-like tightening sensation" Misapprehended as abdominal splanchnopathy in a sarcoidosis patient

Internal Medicine

Volumn 44, Issue 6, 2005, Pages 647-652

  Yakushiji, Yusuke ^b,c   Yamada, Kentaro ^b   Nagatsuka, Kazuyuki ^b   Hashimoto, Yukako ^a   Miyashita, Kotaro ^b   Naritomi, Hiroaki ^b  

^a Mitsubishi Kobe Hospital   (Japan)

^b NATIONAL CEREBRAL AND CARDIOVASCULAR CENTER   (Japan)

^c SAGA UNIVERSITY   (Japan)

Author keywords

Dysesthesia; Polyradiculopathy; Sarcoidosis; Splanchnopathy; Trunk

Indexed keywords

PREDNISONE;

ABDOMINAL DISEASE; ADULT; ARTICLE; BULBAR PARALYSIS; CASE REPORT; CEREBROSPINAL FLUID EXAMINATION; CLINICAL FEATURE; COMPUTER ASSISTED TOMOGRAPHY; CONSTIPATION; DISEASE DURATION; DYSESTHESIA; DYSPNEA; FACIAL NERVE PARALYSIS; FOLLOW UP; GASTROINTESTINAL ENDOSCOPY; GUILLAIN BARRE SYNDROME; HOSPITAL ADMISSION; HOSPITAL DISCHARGE; HUMAN; IDIOPATHIC DISEASE; LUNG SARCOIDOSIS; LYMPHADENOPATHY; MALE; MEDIASTINUM LYMPH NODE; MUSCLE WEAKNESS; NEUROLOGIC DISEASE; NEUROLOGIC EXAMINATION; PAIN; PATIENT REFERRAL; PERIPHERAL NEUROPATHY; PHYSICAL EXAMINATION; PLEOCYTOSIS; RADICULOPATHY; SENSORY DYSFUNCTION; SKIN BIOPSY; SKIN DEFECT; SYMPTOMATOLOGY; SYSTEMIC DISEASE; THORAX RADIOGRAPHY; TRUNK;

ABDOMEN; BIOPSY; DIAGNOSIS, DIFFERENTIAL; HUMANS; LUNG; MALE; MIDDLE AGED; POLYRADICULONEUROPATHY; SARCOIDOSIS, PULMONARY; SENSATION DISORDERS; SKIN; SKIN DISEASES; SPLANCHNIC NERVES; TOMOGRAPHY, X-RAY COMPUTED;

EID: 21644488345     PISSN: 09182918     EISSN: None     Source Type: Journal    
DOI: 10.2169/internalmedicine.44.647     Document Type: Article

References (16)

1. Stern BJ, Krumholz A, Johns C, Scott P, Nissim J. Sarcoidosis and its neurological manifestations. Arch Neurol 42: 909-917, 1985.
2. Sharma OP. Neurosarcoidosis: a personal perspective based on the study of 37 patients. Chest 112: 220-228, 1997.
3. Matthews WB. Sarcoidosis of the nervous system. J Neurol Neurosurg Psychiat 28: 23-29, 1965.
4. Koffman B, Junck L, Elias SB, Feit HW, Levine SR. Polyradiculopathy in sarcoidosis. Muscle Nerve 22: 608-613, 1999.
5. Kikta DG, Breuer AC, Wilbourn AJ. Thoracic root pain in diabetes: the spectrum of clinical and electromyographic findings. Ann Neurol 11: 80-85, 1982.
6. Jefferson M. Nervous sign in sarcoidosis. Br Med J 2: 916-919, 1952.
7. Singhal BS, Patel CV, Banka NH. Sarcoidosis with neurological involvement. A report of two cases from Bombay. Neurol India 25: 238-243, 1977.
8. Date Y, Hayashida S, Tsuruta K, Ohoi N, Matsukura S. A case of sarcoidosis with polyradiculopathy as the initial sign in the clinical course. J Miyazaki MA 13: 127-130, 1989 (in Japanese).
9. Anegawa T, Hara K, Yamamoto M, Yoshida H. A case of sarcoid polyradiculopathy with nerve roots swelling demonstrated by myelography. Rinsho Shinkeigaku 32: 864-869, 1992.
10. Reshad K, Sekine T, Tanaka F, Miura H. A case of intercostal neuropathy (Th2-9) due to sarcoidosis. Nihon Kyobu Shikkan Gakkai Zasshi 31: 1462-1467, 1993 (in Japanese).
11. Shironouchi Y, Araki N, Yonei Y, et al. A case of neurosarcoidosis with radiculagia as an initial sign and various sequential neurological symptoms. Diagnosis and Treatment 87: 1061-1064, 1999 (in Japanese).
12. Miyoshi Y, Sakae N, Itoh H, et al. Neurosarcoidosis with girdle sensation and polyradiculoneuropathy masquerading as Guillain-Barré syndrome. No To Sinkei 52: 805-809, 2000 (in Japanese).
13. Misawa M, Utsumi K, Nagate A, et al. A case of spinal sarcoidosis complaining of chest and back pain as a first manifestation and mimicking syringomyelia on MRI. No To Shinkei 54: 337-340, 2002.
14. Longstreth GF. Diabetic thoracic polyradiculopathy: ten patients with abdominal pain. Am J Gastroenterol 92: 502-505, 1997.
15. Ferriby D, de Seze J, Stojkovic T, et al. Long-term follow-up of neurosarcoidosis. Neurology 57: 927-929, 2001.
16. Konishi K, Sugawara, K, Nakadate T, Tamura M. Sarcoidosis. Nippon Rinsho 51: 1030-1037, 1993 (in Japanese).