THU0387 Refractory Sarcoid Arthritis in World Trade Center- Exposed New York City Firefighters Necessitating Anti-TNF Alpha Therapy

Abstract

BackgroundSarcoidosis is characterized by multisystem granulomatous inflammation, predominantly of the lungs. Acute joint manifestations occur in 25–40% of cases and are usually self-limited with only 1–4% developing chronic arthritis. We...