TY - JOUR T1 - Unusual Subcutaneous Swellings on the Hand as Primary Presenting Feature of Sarcoidosis JF - The Journal of Rheumatology JO - J Rheumatol SP - 519 LP - 521 DO - 10.3899/jrheum.100731 VL - 38 IS - 3 AU - SHEILA MOSCATELLI AU - STEFANO SIMONETTI AU - ELENA BARTOLONI BOCCI AU - ROBERTO GERLI Y1 - 2011/03/01 UR - http://www.jrheum.org/content/38/3/519.abstract N2 - Sarcoidosis usually presents with typical signs and symptoms, often found through chest radiographs. However, sometimes sarcoidosis is diagnosed from unusual manifestations. A soft-tissue swelling in the hands, for example, without significant systemic disease is a rare sign, but it could indicate sarcoid involvement of subcutaneous tissue.A 41-year-old man presented with a 4-month history of progressive, painless soft-tissue nodular swellings in his left hand. He denied symptoms of systemic illness or history of chronic disease. Examination revealed 2 nodular masses, one with a diameter of 1 cm on the thenar eminence and the other 2 cm, involving the third metacarpophalangeal joint (Figures … ER -