Abstract
In April 2001, a 43-year-old female was admitted to our hospital after finding bilateral hilar lymphadenopathy on a chest radiograph. After clinical investigation, we diagnosed her as having pulmonary sarcoidosis. In November 2003, she complained of localized swelling of her left fifth finger and left second toe. Fifth finger swelling slowly progressed, and in January 2004, she complained of pain of the same lesion, and a bone radiograph revealed pathological fracture. Surgical operation for finger reconstruction was performed with the use of an iliac bone graft, and showed non-caseous granuloma from curetted specimen of left 5th finger. This result suggested that the pathological fracture was due to sarcoidosis. Because the second toe would break in the future, we started 30mg/day oral prednisolone.
Pathological bone fracture due to sarcoidosis is very rare, and we discuss this case in comparison with previously published cases.
