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Preschool sarcoidosis manifesting as juvenile rheumatoid arthritis: A case report and a review of the literature of Japanese cases
Author(s) -
UKAE SUSUMU,
TSUTSUMI HIROYUKI,
ADACHI NORIAKI,
TAKAHASHI HIROYUKI,
KATO FUMIHIRO,
CHIBA SHUNZO
Publication year - 1994
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/j.1442-200x.1994.tb03237.x
Subject(s) - medicine , sarcoidosis , juvenile rheumatoid arthritis , uveitis , rheumatoid arthritis , arthritis , dermatology , juvenile , pediatrics , immunology , biology , genetics
Nine Japanese cases of sarcoidosis in children of 4 years of age or younger have been reported in the literature, including the case presented here. Clinically, preschool sarcoidosis is distinctly different from that of older children; it is characterized by a triad of skin, joint and eye lesions without pulmonary involvement. It is easily confused with juvenile rheumatoid arthritis which also presents the symptoms of arthritis and uveitis. We report on a patient with preschool sarcoidosis who was initially diagnosed as having juvenile rheumatoid arthritis. We recommend prompt skin biopsy to differentiate between these conditions.