Resolution of Osseous Sarcoidosis with Methotrexate
Though a relatively uncommon manifestation of sarcoidosis, some clinicians are tasked with managing osseous involvement of disease, and the optimal treatment approach in this setting is not well established. Previous studies have shown variable efficacy for osseous sarcoidosis utilizing multiple age...
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Format: | Article |
Language: | English |
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Wiley
2019-01-01
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Series: | Case Reports in Rheumatology |
Online Access: | http://dx.doi.org/10.1155/2019/4156313 |
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author | Christopher Kanner Bonita Libman Morgan Merchand Diego Lemos |
author_facet | Christopher Kanner Bonita Libman Morgan Merchand Diego Lemos |
author_sort | Christopher Kanner |
collection | DOAJ |
description | Though a relatively uncommon manifestation of sarcoidosis, some clinicians are tasked with managing osseous involvement of disease, and the optimal treatment approach in this setting is not well established. Previous studies have shown variable efficacy for osseous sarcoidosis utilizing multiple agents alone or in combination, often using imaging follow-up in conjunction with clinical assessment to evaluate response to treatment. We present a case of widespread skeletal involvement of sarcoidosis without evidence of concurrent pulmonary disease demonstrating marked clinical improvement and near-complete resolution of imaging abnormalities on magnetic resonance imaging (MRI) following the use of methotrexate as the primary pharmacologic agent. |
format | Article |
id | doaj-art-80e80c2b8c564695ba55eaef1f8dd71a |
institution | Kabale University |
issn | 2090-6889 2090-6897 |
language | English |
publishDate | 2019-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Rheumatology |
spelling | doaj-art-80e80c2b8c564695ba55eaef1f8dd71a2025-02-03T01:21:33ZengWileyCase Reports in Rheumatology2090-68892090-68972019-01-01201910.1155/2019/41563134156313Resolution of Osseous Sarcoidosis with MethotrexateChristopher Kanner0Bonita Libman1Morgan Merchand2Diego Lemos3University of Vermont Medical Center, The Robert Larner, M. D. College of Medicine at the University of Vermont, Burlington, VT, USAUniversity of Vermont Medical Center, The Robert Larner, M. D. College of Medicine at the University of Vermont, Burlington, VT, USAUniversity of Vermont Medical Center, The Robert Larner, M. D. College of Medicine at the University of Vermont, Burlington, VT, USAUniversity of Vermont Medical Center, The Robert Larner, M. D. College of Medicine at the University of Vermont, Burlington, VT, USAThough a relatively uncommon manifestation of sarcoidosis, some clinicians are tasked with managing osseous involvement of disease, and the optimal treatment approach in this setting is not well established. Previous studies have shown variable efficacy for osseous sarcoidosis utilizing multiple agents alone or in combination, often using imaging follow-up in conjunction with clinical assessment to evaluate response to treatment. We present a case of widespread skeletal involvement of sarcoidosis without evidence of concurrent pulmonary disease demonstrating marked clinical improvement and near-complete resolution of imaging abnormalities on magnetic resonance imaging (MRI) following the use of methotrexate as the primary pharmacologic agent.http://dx.doi.org/10.1155/2019/4156313 |
spellingShingle | Christopher Kanner Bonita Libman Morgan Merchand Diego Lemos Resolution of Osseous Sarcoidosis with Methotrexate Case Reports in Rheumatology |
title | Resolution of Osseous Sarcoidosis with Methotrexate |
title_full | Resolution of Osseous Sarcoidosis with Methotrexate |
title_fullStr | Resolution of Osseous Sarcoidosis with Methotrexate |
title_full_unstemmed | Resolution of Osseous Sarcoidosis with Methotrexate |
title_short | Resolution of Osseous Sarcoidosis with Methotrexate |
title_sort | resolution of osseous sarcoidosis with methotrexate |
url | http://dx.doi.org/10.1155/2019/4156313 |
work_keys_str_mv | AT christopherkanner resolutionofosseoussarcoidosiswithmethotrexate AT bonitalibman resolutionofosseoussarcoidosiswithmethotrexate AT morganmerchand resolutionofosseoussarcoidosiswithmethotrexate AT diegolemos resolutionofosseoussarcoidosiswithmethotrexate |