Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
“A Girdle-like Tightening Sensation” Misapprehended as Abdominal Splanchnopathy in a Sarcoidosis Patient
Yusuke YAKUSHIJIKentaro YAMADAKazuyuki NAGATSUKAYukako HASHIMOTOKotaro MIYASHITAHiroaki NARITOMI
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JOURNALS OPEN ACCESS

2005 Volume 44 Issue 6 Pages 647-652

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Abstract

We describe a 53-year-old man with the isolated manifestation of girdle-like tightening sensation of the trunk due to polyradiculopathy at the beginning of sarcoidosis which was first misapprehended as abdominal splanchnopathy. Late development of other neurological and systemic symptoms led to the final diagnosis of sarcoidosis. Segmental dysesthesia at the trunk in neurosarcoidosis is unique and may mimic a splanchnic pain. Such a dysesthesia may be solely manifested at the beginning of sarcoidosis and may continue for days without other symptoms. When patients complain of a girdle-like tightening with unknown etiology, sarcoidosis should be suspected as the possible cause.

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© 2005 by The Japanese Society of Internal Medicine
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