Abstract
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 …
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