August 11, 1978

Vertebral Sarcoidosis

Author Affiliations

From the Department of Internal Medicine, Division of Pulmonary Diseases, the Long Island College Hospital (Drs Cutler and Sankaranarayanan) and the Downstate Medical Center (Dr Cutler), Brooklyn, NY.

JAMA. 1978;240(6):557-558. doi:10.1001/jama.1978.03290060059017

OSSEOUS lesions occur in about 14%1 of patients with sarcoidosis and, characteristically, involve the small bones of the hands and feet. Lesions involving the long bones, large joints, pelvis, skull, and vertebral bodies have been described, but they are rare. We believe this to be the fourth patient with sarcoidosis of the cervical spine.

Report of a Case  A 26-year-old woman was admitted to the Long Island College Hospital on July 23, 1976, because of progressive radicular neck pain, anorexia, weight loss, fatigability, and shortness of breath, which were sufficiently severe to prevent her from working as a typist. There was no hemoptysis, cough, fever, chills, or night sweats. There was no history of tuberculosis in her family. She was born in New York and never traveled.She was fairly well nourished, pale, and had normal vital signs. There were bilateral small, nontender, cervical and inguinal lymph nodes. There