A Rare Case of Spinal Sarcoidosis Presenting as Multiple Bone Marrow Oedematous Lesions

Authors

• Anat Bel-ange Department of Internal Medicine "C", Assaf Harofeh Medical Center, affiliated to Sackler Medical School, Tel Aviv University, Zerifin, Israel
• Sigal Tal Department of Radiology, Assaf Harofeh Medical Center, affiliated to Sackler Medical School, Tel Aviv University, Zerifin, Israel
• Micha Rapoport Department of Internal Medicine "C", Assaf Harofeh Medical Center, affiliated to Sackler Medical School, Tel Aviv University, Zerifin, Israel

anatdol@gmail.com

Keywords

Abstract

Sarcoidosis is a systemic disorder that most commonly affects the lungs. Bone involvement is rare, and spinal involvement is even more rare. The presence of focal lesions of the vertebrae is highly suspicious of advanced malignancy. However, malignant metastatic spread to the spine involves the vertebral cortex rather than the bone marrow itself, a distinction that is often missed and therefore misleading. We describe here a middle-aged woman with multiple focal oedematous lesions of the bone marrow suspected of being advanced malignancy but finally diagnosed as a rare case of spinal sarcoidosis.