“A Girdle-like Tightening Sensation” Misapprehended as Abdominal Splanchnopathy in a Sarcoidosis Patient

Yusuke YAKUSHIJI; Kentaro YAMADA; Kazuyuki NAGATSUKA; Yukako HASHIMOTO; Kotaro MIYASHITA; Hiroaki NARITOMI

doi:10.2169/internalmedicine.44.647

CASE REPORTS

“A Girdle-like Tightening Sensation” Misapprehended as Abdominal Splanchnopathy in a Sarcoidosis Patient

Yusuke YAKUSHIJI, Kentaro YAMADA, Kazuyuki NAGATSUKA, Yukako HASHIMOTO, Kotaro MIYASHITA, Hiroaki NARITOMI

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Keywords: splanchnopathy, sarcoidosis, polyradiculopathy, trunk, dysesthesia

JOURNAL OPEN ACCESS

2005 Volume 44 Issue 6 Pages 647-652

DOI https://doi.org/10.2169/internalmedicine.44.647

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Abstract

We describe a 53-year-old man with the isolated manifestation of girdle-like tightening sensation of the trunk due to polyradiculopathy at the beginning of sarcoidosis which was first misapprehended as abdominal splanchnopathy. Late development of other neurological and systemic symptoms led to the final diagnosis of sarcoidosis. Segmental dysesthesia at the trunk in neurosarcoidosis is unique and may mimic a splanchnic pain. Such a dysesthesia may be solely manifested at the beginning of sarcoidosis and may continue for days without other symptoms. When patients complain of a girdle-like tightening with unknown etiology, sarcoidosis should be suspected as the possible cause.

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