{"id":7505,"date":"2022-11-22T13:00:22","date_gmt":"2022-11-22T10:00:22","guid":{"rendered":"https:\/\/urbancare.clinic\/muscle-involvement-in-sarcoidosis\/"},"modified":"2022-11-22T13:00:22","modified_gmt":"2022-11-22T10:00:22","slug":"muskelbeteiligung-bei-sarkoidose","status":"publish","type":"post","link":"https:\/\/urbancare.clinic\/de\/muscle-involvement-in-sarcoidosis\/","title":{"rendered":"Muskelbeteiligung bei Sarkoidose"},"content":{"rendered":"<div><img decoding=\"async\" src=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/01\/muscle-involvement-in-sarcoidosis.jpg\" class=\"ff-og-image-inserted\" style=\"display:none\"><\/div>\n<p><span class=\"highwire-journal-article-marker-start\"><\/span><\/p>\n<p id=\"p-1\">Ein 31-j\u00e4hriger Mann stellte sich mit trockenem Husten vor, der seit zwei Monaten anhielt. Bei ihm wurden eine mediastinale Adenopathie sowie erh\u00f6hte Serumkalzium- und ACE-Werte festgestellt. Er unterzog sich einer endoskopischen ultraschallgesteuerten Biopsie aus subkarinalen und peripankreatischen Knoten, die diskrete, nicht verk\u00e4sende Granulome zeigte. Es wurde die Diagnose Sarkoidose gestellt und er unterzog sich einer Ganzk\u00f6rper-Fluordesoxyglucose-Positronen-Emissions-Tomographie (FDG-PET), um die Krankheitsaktivit\u00e4t an anderer Stelle zu beurteilen. Es enth\u00fcllte die \u2026 <\/p>\n<p><span class=\"highwire-journal-article-marker-end\"><\/span><a href=\"http:\/\/pmj.bmj.com\/cgi\/content\/short\/98\/1166\/e31?rss=1\">Medizinische t\u00e4gliche Quelle<\/a><\/p>\n<p>","protected":false},"excerpt":{"rendered":"<p>A 31-year-old man presented with dry cough of 2 months duration. He was detected to have mediastinal adenopathy, raised serum calcium and ACE levels. He underwent endoscopic ultrasound-guided biopsy from subcarinal and peripancreatic nodes, which showed discrete non-caseating granulomas. A diagnosis of sarcoidosis was made and he underwent a whole-body fluorodeoxyglucose-positron emission tomography (FDG PET) scan to assess disease activity elsewhere. It revealed the presence of FDG avid right cervical, mediastinal and retroperitoneal lymphadenopathy (<cross-ref type=\"fig\" refid=\"F1\">Abbildung 1<\/cross-ref> green arrows). Poorly defined hypoenhancing multiple intramuscular nodular lesions with spotty intense FDG uptake were also noted (<cross-ref type=\"fig\" refid=\"F1\">Abbildung 1<\/cross-ref> blue arrow and <cross-ref type=\"fig\" refid=\"F2\">Figur 2<\/cross-ref> white arrow). Skeletal muscle involvement occurs subclinically in as high as 50% to 80% of individuals with sarcoidosis but is very infrequently (0.5% to 2.5%) symptomatic.<cross-ref type=\"bib\" refid=\"R1\">1<\/cross-ref> <sup>18<\/sup>F-FDG-PET scans can identify active sarcoid. The findings include a patchy pickup in the skeletal muscle,&#8230;<\/p>","protected":false},"author":2,"featured_media":7506,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"Default","format":"standard","meta":{"page_builder":"","fifu_image_url":"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/01\/muscle-involvement-in-sarcoidosis.jpg","fifu_image_alt":"","footnotes":""},"categories":[185],"tags":[],"class_list":["post-7505","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-research-medical-articles"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Muscle involvement in sarcoidosis - Urban Care Clinic<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/urbancare.clinic\/de\/muskelbeteiligung-bei-sarkoidose\/\" \/>\n<meta property=\"og:locale\" content=\"de_DE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Muscle involvement in sarcoidosis - Urban Care Clinic\" \/>\n<meta property=\"og:description\" content=\"A 31-year-old man presented with dry cough of 2 months duration. He was detected to have mediastinal adenopathy, raised serum calcium and ACE levels. He underwent endoscopic ultrasound-guided biopsy from subcarinal and peripancreatic nodes, which showed discrete non-caseating granulomas. A diagnosis of sarcoidosis was made and he underwent a whole-body fluorodeoxyglucose-positron emission tomography (FDG PET) scan to assess disease activity elsewhere. It revealed the presence of FDG avid right cervical, mediastinal and retroperitoneal lymphadenopathy (figure 1 green arrows). Poorly defined hypoenhancing multiple intramuscular nodular lesions with spotty intense FDG uptake were also noted (figure 1 blue arrow and figure 2 white arrow). Skeletal muscle involvement occurs subclinically in as high as 50% to 80% of individuals with sarcoidosis but is very infrequently (0.5% to 2.5%) symptomatic.1 18F-FDG-PET scans can identify active sarcoid. The findings include a patchy pickup in the skeletal muscle,...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/urbancare.clinic\/de\/muskelbeteiligung-bei-sarkoidose\/\" \/>\n<meta property=\"og:site_name\" content=\"Urban Care Clinic\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/urbancarezanzibar\" \/>\n<meta property=\"article:published_time\" content=\"2022-11-22T10:00:22+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/01\/muscle-involvement-in-sarcoidosis.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"1024\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Urban Care Clinic\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Verfasst von\" \/>\n\t<meta name=\"twitter:data1\" content=\"Urban Care Clinic\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/muscle-involvement-in-sarcoidosis\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/muscle-involvement-in-sarcoidosis\\\/\"},\"author\":{\"name\":\"Urban Care Clinic\",\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/#\\\/schema\\\/person\\\/a304a61bcf298680ee41e2e9ae193930\"},\"headline\":\"Muscle involvement in sarcoidosis\",\"datePublished\":\"2022-11-22T10:00:22+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/muscle-involvement-in-sarcoidosis\\\/\"},\"wordCount\":70,\"publisher\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/muscle-involvement-in-sarcoidosis\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/urbancare.clinic\\\/wp-content\\\/uploads\\\/2023\\\/01\\\/muscle-involvement-in-sarcoidosis.jpg\",\"articleSection\":[\"Research Articles\"],\"inLanguage\":\"de\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/muscle-involvement-in-sarcoidosis\\\/\",\"url\":\"https:\\\/\\\/urbancare.clinic\\\/muscle-involvement-in-sarcoidosis\\\/\",\"name\":\"Muscle involvement in sarcoidosis - 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