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Heel Pain in Sarcoidosis

Robert A. Shaw, MD; Peter A. Holt, MD; and Mary Betty Stevens, MD
[+] Article, Author, and Disclosure Information

Requests for Reprints: Mary Betty Stevens, MD, Suite 400, The Professional Building, 5601 Loch Raven Boulevard, Baltimore, MD 21239.

Current Author Addresses: Dr. Shaw: Good Samaritan Professional Building, 5601 Loch Raven Boulevard, Baltimore, MD 21239.

Dr. Holt: 550 North Broadway, Baltimore, MD 21205.

Dr. Stevens: Suite 400, The Professional Building, 5601 Loch Raven Boulevard, Baltimore, MD 21239.

Ann Intern Med. 1988;109(8):675-677. doi:10.7326/0003-4819-109-8-675
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This excerpt has been provided in the absence of an abstract.

Acute and chronic polyarthritis are well recognized characteristics of sarcoidosis. However, except for the mention of heel pain as a clinical feature in 2 of 45 cases of sarcoid arthritis in one review (1), heel pain has not been reported. We report seven cases of sarcoid-related heel pain as a major characteristic of the disease process.

Case Report: A 54-year-old black housewife, previously in excellent health, had a spontaneous onset of severe bilateral heel pain that subsided after several days. One week later, the heel pain recurred with fever and an intense polyarthritis involving all peripheral joints except the distal


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