Turkish Journal of Osteoporosis

Turkish Journal of Osteoporosis

Basic info

  • Publisher: Galenos Publishing House
  • Country of publisher: turkey
  • Date added to EuroPub: 2019/Aug/13

Subject and more

  • LCC Subject Category: Medicine, Osteoporosis
  • Publisher's keywords: Osteoporosis, Medicine
  • Language of fulltext: english, turkish
  • Time from submission to publication: 5 weeks

Publication charges

  • Article Processing Charges (APCs): No
  • Submission charges: No
  • Waiver policy for charges? No

Open access & licensing

  • Type of License: CC BY-NC-ND
  • License terms
  • Open Access Statement: Yes
  • Year open access content began: 2002
  • Does the author retain unrestricted copyright? False
  • Does the author retain publishing rights? False

Best practice polices

  • Permanent article identifier: DOI
  • Content digitally archived in: Other
  • Deposit policy registered in: None

This journal has '16' articles

Comparison of Platelet-rich Plasma and Cortisone Injections Administered Under Ultrasonography Guidance in Rotator Cuff Tendon Pathologies

Comparison of Platelet-rich Plasma and Cortisone Injections Administered Under Ultrasonography Guidance in Rotator Cuff Tendon Pathologies

Authors: Volkan Subaşı
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Abstract

Objective: Rotator cuff tendon pathologies are the most frequently diagnosed disease group among the causes of shoulder pain. The aim of this study was to compare the results of platelet-rich plasma (PRP) and cortisone treatments applied to patients who admitted to our outpatient clinic with the diagnosis of Rotator cuff syndrome. Materials and Methods: A total of 40 patients with no shoulder movement restriction and shoulder pain longer than 3 months were included in the study. Pain symptoms of the patients were evaluated with Visual Analogue Scale (VAS) and functional status with the disabilities of the arm, shoulder and hand score (Quick-DASH). Results: Statistically significant improvements were observed in the VAS and Quick-DASH scores at the first and second month controls (according to the first month and pre-treatment) in the evaluations of the both groups (p<0.01). In the statistical study comparing clinical recovery in both groups, it was found that there was a further decrease in the PRP group at the second month control only in the VAS scores (p=0.007) and this difference was found to be statistically significant, while the decrease in the Quick-DASH scores was found to be statistically similar (p=0.007). Conclusion: In this study, we concluded that PRP and cortisone injections were effective in rotator cuff lesions. We believe that the PRP therapy is a good alternative to rotator cuff lesions in patients with comorbid diseases or in patients who cannot be treated with cortisone because of the adverse effects.

Keywords: Rotator cuff lesions, PRP treatment, impingement syndrome
Is There Any Relationship Between Serum Endocan Levels and Carotid Intima-media Thickness in Patients with Fibromyalgia?

Is There Any Relationship Between Serum Endocan Levels and Carotid Intima-media Thickness in Patients with Fibromyalgia?

Authors: Fatih Bağcıer, Fatih Hakan Tufanoğlu, Özgür Kadıçeşme
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Abstract

Objective: Although the pathophysiology of Fibromyalgia syndrome (FMS) has not yet been completely elucidated, it has been suggested that inflammation and endothelial dysfunction occur in patients with FMS. In recent years, endocan has been reported as an important biomarker for inflammation and endothelial dysfunction. It is important to assess carotid intima-media thickness (CIMT) in the evaluation of early atherosclerotic vascular diseases. In this study, we investigated this mechanism by measuring serum endocan levels and CIMT in patients with FMS and evaluated whether there is a correlation between them. Materials and Methods: Serum samples collected from 40 female patients diagnosed with FMS (the patient group) for the first time and 40 healthy female participants’ (the control group) endocan levels and CIMT ultrasonography were investigated, and the values of the two groups were compared. Results: Serum endocan levels and CIMT results were significantly higher in the patient group than in the control group (p<0.001). In addition, a very weak correlation was found between CIMT and endocan levels in patients with FMS. Conclusion: Increased subclinical inflammation, endothelial dysfunction, and early atherosclerosis play an important role in the pathophysiology of FMS. Increased endocan levels, CIMT, and the correlation between them will contribute to elucidating this mechanism.

Keywords: Carotid intima-media thickness, fibromyalgia, endocan, correlation
Investigation of Short-wave Diathermy Genotoxic Effect in Patients with Knee Osteoarthritis

Investigation of Short-wave Diathermy Genotoxic Effect in Patients with Knee Osteoarthritis

Authors: Önder Şener, Sami Hizmetli, Ahmet Karadağ, Emrullah Hayta
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Abstract

Objective: Short-wave diathermy (SWD) is a physical therapy agent that is commonly used as a deep heater in physical medicine practices. The aim of this study was to investigate whether there is a chromosomal damage arising from therapeutic SWD by using micronucleus (MN) method. Materials and Methods: Thirty patients who suffered from knee pain, and diagnosed as gonarthrosis according to American College of Rheumatology criteria were admitted in the present study. Twenty patients were assigned as the treatment group (group 1) and 10 patients were assigned as the control group (group 2). The patients in the treatment group received 10 sessions of SWD therapy, whereas the patients in the control group received 10 sessions of sham SWD therapy. Peripheral venous blood was obtained from both the treatment and the control groups before and after 10 sessions of SWD therapy to evaluate MN scores. The scores of MN assessed before the therapy were compared with the MN scores at the end of 10 sessions of SWD therapy in the treatment and the control groups. Pre-treatment and end of the 10th session MN scores were compared between the treatment and the control groups. Results: There was not a statistically significant difference in MN scores between pre-treatment and after 10th session SWD therapy in both groups (p>0.05). There was also not a significant difference in the MN scores of the groups between pre-treatment and after 10th session of SWD therapy (p>0.05). Conclusion: In this study, we observed that the therapeutic SWD did not induce an increase in MN score, which is a sign of cytogenetic damage.

Keywords: Short-wave diathermy, micronucleus assay, gonarthrosis
The Level of Osteoporosis Knowledge and the Related Factors Among Women Who Attended İskenderun Public Education Center Courses

The Level of Osteoporosis Knowledge and the Related Factors Among Women Who Attended İskenderun Public Education Center Courses

Authors: Ceren Gezer, Ecem Ocak
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Abstract

Objective: This study aimed to evaluate the levels of osteoporosis knowledge and self-efficacy and the related factors. Materials and Methods: The study was conducted with 419 women aged between 19 and 60 years who attended the courses provided by Iskenderun Public Education Center. A questionnaire including the osteoporosis knowledge test (OKT) and osteoporosis self-efficacy scale (OSES) scores was applied by face to face interview method, the weight and height measurements were performed in accordance with the techniques. Results: The women older than 23 years of age had higher total OKT scores than the women younger than 23 years. The total OKT scores of the women with bachelor’s degree were 12.9 times higher than those of unschooled literate women. The OSES-exercise scores of selfemployed women were 2.4 times higher than those of housewives. A relationship was determined between the OKT and OSES total scores, OKT-nutrition and OSES-calcium, and OKT-exercise and OSES-exercise scores. Conclusion: Women participating in İskenderun Public Education Center courses have low levels of osteoporosis knowledge and self-efficacy. Age, level of education, and occupation are important demographic factors affecting these levels. Further multicenter studies are needed to evaluate calcium intake and physical activity levels.

Keywords: Osteoporosis, knowledge, self-efficacy, woman
The Impact of Extracorporeal Shock Wave Therapy and Dry Needling Combination on the Pain, Grip Strength and Functionality in Patients Diagnosed with Lateral Epicondylitis

The Impact of Extracorporeal Shock Wave Therapy and Dry Needling Combination on the Pain, Grip Strength and Functionality in Patients Diagnosed with Lateral Epicondylitis

Authors: Fatih Bağcıer, Nurdan Yılmaz
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Abstract

Objective: The aim of this study was to investigate the effects of extracorporeal shock wave therapy (ESWT) and dry needling (DN) combination to the trigger points in the forearm extensor muscles on pain, grip strength and functionality in patients diagnosed with lateral epicondylitis. Materials and Methods: Forty patients who were clinically diagnosed with lateral epicondylitis were included in the study. The patients were divided into two groups as ESWT and ESWT + DN. Patients in the ESWT and exercise group were applied 2.000 pulses, once a week, three sessions; in addition to that three sessions of DN therapy was applied to the other group. Also, stretching and eccentric strengthening exercises were applied to the patients in both groups. The pain severity of the patients which occured with palpation and grip was measured by Visual Analog Scale (VAS), lateral epicondyle sensitivity by an algometer, grip strength by dynamometer and functionality level by the patient-rated tennis elbow evaluation (PRTEE) pre-treatment and at the end of treatment (first month). Results: In both groups; there were statistically significant improvements in first month VAS scores of the pre- and post-treatment (morning, activity, and rest) (p<0.001); in the comparison of the intergroup, the improvement in pain scores, except for night pain, was found to be superior in the ESWT + DN group (p<0.001). The evaluation of the most sensitive region of the lateral epicondylitis pre- and post-treatment with algometer were compared, there was a significant improvement in both groups (p<0.001), whereas the improvement in ESWT + DN group was observed to be superior (p<0.001). While the maximum grip strength values measured in the elbow flexion and extension position increased significantly in both groups after the treatment, the increase in the extension position in the ESWT + DN group was outstanding (p<0.05). When the pre- and post-treatment changes seen in the PRTEE scale of the patients were examined; a statistically significant decrease was observed in all groups in favor of improvement post-treatment (p<0.05). In ESWT + DN group, pain score and function score change were more effective than ESWT group (p<0.001). Conclusion: These results suggest that ESWT and DN combination therapy in lateral epicondylitis provide better clinical outcomes than ESWT treatment alone.

Keywords: Lateral epicondylitis, dry needling, extracorporeal shock wave therapy
The Evaluation of Paraspinal Markers in the Numbering of the Lumbosacral Transitional Vertebrae

The Evaluation of Paraspinal Markers in the Numbering of the Lumbosacral Transitional Vertebrae

Authors: Mehmet Beyazal, Münevver Serdaroğlu Beyazal, Maksude Esra Kadıoğlu, Fatma Beyazal Çeliker
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Abstract

Objective: Lumbosacral transitional vertebrae (TV) are a common congenital anomaly and known to be associated with chronic low back pain. The purpose of this study is to reveal the value of the paraspinal markers such as celiac artery (CA), superior mesenteric artery (SMA), right renal artery (RRA) origins, abdominal aorta bifurcation (AAB), and iliolumbar ligament (IL) in the correct numbering of lumbosacral TV on computed tomography (CT) imaging. Materials and Methods: The cases with aged from 18-65 years who underwent the whole-body CT imaging between the dates January 2015 and December 2017 were assessed retrospectively. Results: Of the 380 cases (age 53.4±10.8 years; 164 women and 216 men) included in the study, 51 (13.4%) had TV. A significant difference was determined in terms of the level of CA, SMA, RRA origin, AAB, and IL between the cases with TV and normal spinal segmentation (p<0.001). Conclusion: There are significant differences in terms of the localization of the CA, SMA, RRA origins, AAB, and IL levels between the subjects with normal spinal segmentation and TV. Therefore, the use of these marks may result in inaccuracy of the vertebral numbering.

Keywords: Transitional vertebrae, computed tomography, paraspinal markers Yaz›
Benefits, Treatment Compliance, Awareness and Expectation Levels Related to Treatment of Patients Taking Physical Therapy Program

Benefits, Treatment Compliance, Awareness and Expectation Levels Related to Treatment of Patients Taking Physical Therapy Program

Authors: Zeynep Kılıç, Meral Bilgilisoy, Filiz Berat, Meryem Alkan
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Abstract

Objective: In our study, we aimed to determine the expectations, treatment compliance, benefit status, and satisfaction levels of patients who had applied physical therapy (PT) outpatient clinic in our hospital. Materials and Methods: Five hundred patients aged 18 years and over who were admitted in the PT program were included in the study. A questionnaire consisting of 21 questions about demographic specifications, PT history, expectation, satisfaction, adaptation to home program, and opinions about PT was given to the patients. The demographic data in the questionnaire form and the questionnaires of the patients who left five or more of the questions unanswered were not included in the study. Patients who had previous experience with PT in another hospital, illiterate, had a neurological disease, joint contracture, and patients treated after musculoskeletal surgery were excluded in the study. Results: The questionnaire form of 362 patients was accepted as valid. Two hundred sixty-three of the patients were female, 99 were male and the mean age was 55.26±12.07. 69.10% of the patients were in the expectation of complete recovery, 89.75% reported that their expectations were met, and 88.60% reported that they benefited from the treatment. The level of satisfaction from PT practitioners was 78.10%. It was determined that 67.40% of the patients applied the given exercises and 76.66% of the patients complied with their daily life suggestions. When the patients who did and did not benefit from PT were compared; it was found that those did not have a systemic disease history, who did exercises along with the treatment, and who complied daily activity suggestions were benefited significantly higher (p<0.05). Conclusion: Assessment of patients’ expectations, awareness and satisfaction status from treatment will contribute to increasing the quality of health care services.

Keywords: Physical therapy, expectation, awareness, satisfaction
Examination and Comparison of Osteoporosis Knowledge Level of Students Studying in Nutrition and Dietetics and Physiotherapy and Rehabilitation Departments

Examination and Comparison of Osteoporosis Knowledge Level of Students Studying in Nutrition and Dietetics and Physiotherapy and Rehabilitation Departments

Authors: Cem Erçalık, Sevda Adar, Mehmet Çetin Başkaya, Özlem Persil Özkan, Sanem Şener, Ekin Uğur
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Abstract

Objective: It is important to know and control the risk factors for the prevention of osteoporosis, which results in increased bone fragility. It is necessary for health professionals to identify and inform individuals at risk for the protection of them from osteoporosis. In this study, we aimed to examine and compare the knowledge levels of osteoporosis among students in different fields of health sciences. Materials and Methods: This study was carried out with 259 students aged between 19 and 46 who are studying at İstanbul Arel University Physiotherapy and Rehabilitation (PTR) and Nutrition and Dietetics Departments. The revised 2011-osteoporosis knowledge test was used to determine their knowledge levels of osteoporosis. Results: The average age of the students was 21.59±2.4. There was no statistically significant difference between the PTR and Nutrition departments in terms of a total score of osteoporosis knowledge level, but the mean of the exercise subgroups of PTR students was found to be statistically significantly higher (p<0.05). It was observed that the total score, exercise, and nutrition subscores of the students in the first grade were lower than those in the 2nd, 3rd, and 4th grades. Conclusion: The health education students’ knowledge level about osteoporosis is increasing according to their educational level. The level of knowledge can change concerning to the content of education.

Keywords: Osteoporosis, student, knowledge level, awareness
The Effects of Sugammadex on Vitamin D Levels in Rabbits Under General Anesthesia

The Effects of Sugammadex on Vitamin D Levels in Rabbits Under General Anesthesia

Authors: Tuğba Hünerel, Hatice Betül Altınışık
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Abstract

Objective: Sugammadex is a widely used anesthetic agent for reversing of the non-depolarizing block. It reduces blood levels of steroid compounds by encapsulation. The aim of this study was to investigate the effect of sugammadex on the blood levels of vitamin D levels, which has a steroid structure. Materials and Methods: A total of 15 adult male New Zealand white rabbits weighing 2-2.5 kg were randomized into three groups according to decurarization: Group S [sugammadex (16 mg/kg), n=5], group N [neostigmine (0.05 mg/kg), n=5], group C (control group, n=5). Vitamin D levels from venous blood were measured at baseline, 20 minutes and 24 hours after general anesthesia. Results: Mean ± SD vitamin D levels before anesthesia, 20 minutes and 24 hours after anesthesia were 4.42±0.60 ng/mL, 4.93±0.72 ng/mL, and 4.66±0.94 ng/mL for group S, 4.92±0.45 ng/mL, 5.02±0.41 ng/mL, and 5.41±0.56 ng/mL for group N, and 5.15±0.82 ng/mL, 4.57±1.10 ng/mL, and 5.21±1.05 ng/mL for group C, respectively. There were no significant differences in the mean vitamin D levels between the groups at baseline, 20 minutes, and 24 hours. Conclusion: Contrary to expectations, it was found that sugammadex did not have a statistically significant effect on blood levels of vitamin D.

Keywords: Vitamin D, general anesthesia, steroids, sugammadex
Evaluation of Osteoporosis Awareness in Chronic Obstructive Pulmonary Disease Patients

Evaluation of Osteoporosis Awareness in Chronic Obstructive Pulmonary Disease Patients

Authors: Onur Yazıcı, Şule Taş Gülen, Şenay Demir Yazıcı
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Abstract

Objective: Osteoporosis is a significant health problem that affects the quality of life negatively and places a serious burden on the national economy. The risk of osteoporosis in chronic obstructive pulmonary disease (COPD) patients is increased compared to the normal population; however, the knowledge level of the COPD patients related to osteoporosis has not been clearly known. The aim of our study was to investigate the awareness and knowledge level of COPD patients about osteoporosis. Materials and Methods: The patients diagnosed with COPD who admitted to the outpatient clinic of chest diseases between April 2018 and December 2018 were included in the study. The demographic data of the patients were recorded. Whether they have information about osteoporosis and if they know, the sources of information, whether they applied to a physician for this issue, and their knowledge level about the risk factors of osteoporosis were questioned and recorded. Results: A total of 122 patients, of whom 111 were male, were included in the study. 54.9% of the patients had knowledge about osteoporosis. It was found that they were informed mostly from people around them (28.7%), physicians (23%), and press (3.3%). Even though more than half of the patients had known osteoporosis, only 6.6% knew that COPD was a risk factor, and 0.8% were informed by the chest physician about osteoporosis and referred to the relevant physician. Conclusion: The knowledge level of COPD patients about osteoporosis was determined to be insufficient. All physicians, especially chest physicians, should give due consideration to this subject and education should be emphasized through the press.

Keywords: Osteoporosis, COPD, awareness
Prevalence and Risk Factors of Osteoporosis in Men with Chronic Obstructive Pulmonary Disease in Kars Province

Prevalence and Risk Factors of Osteoporosis in Men with Chronic Obstructive Pulmonary Disease in Kars Province

Authors: Fatih Bağcıer, Gökhan Perinçek
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Abstract

Objective: Chronic obstructive pulmonary disease (COPD) is an important cause of morbidity and mortality today. Osteoporosis is known to be seen more commonly in COPD patients. This study aimed to evaluate the prevalence and risk factors of osteoporosis in men with COPD in Kars province. Materials and Methods: In this retrospective study performed on 88 male patients diagnosed with COPD, demographic data of the patients were recorded. The histories that duration of smoking and the use of steroid were documented. Pulmonary function tests and bone mineral densities were analyzed from their files. Results: The prevalence of osteopenia and osteoporosis in our study was 46.5% and 50%, respectively. The patient’s age, smoking duration, COPD stage, and use of steroid history was significantly associated with osteoporosis (p<0.05). This relationship could not be demonstrated in the body mass index. Conclusion: The advanced stage of the disease, smoking, and the use of steroid should be a stimulant for osteoporosis in COPD patients. Early diagnosis and treatment are important in terms of protection from possible vital complications, especially fractures.

Keywords: Osteoporosis, chronic obstructive pulmonary disease, cigarette
Evaluation of Vitamin D Levels in Patients with Breast Cancer-related Lymphedema: An Observational Cross-sectional Study

Evaluation of Vitamin D Levels in Patients with Breast Cancer-related Lymphedema: An Observational Cross-sectional Study

Authors: Didem Sezgin Özcan, Meltem Dalyan, Serhat Ergül, Sibel Ünsal Delialioğlu, Belma Füsun Köseoğlu
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Abstract

Objective: The aim of our study was to compare plasma vitamin D levels between patients with breast cancer-related lymphedema (BCRL) and healthy population, and also to investigate the effects of socio-demographic and clinical factors and lymphedema severity on vitamin D levels. Materials and Methods: Eighty patients with BCRL [mean age 55.5±8.9 (36-81)] and age- and sex-matched 80 healthy controls [mean age 53.7±7.4 (32-70)] who were not on calcium or vitamin D supplementation were included in the study. Socio-demographic and clinical characteristics of the subjects were questioned. Plasma 25-Hydroxyvitamin D3, calcium, phosphorus, alkaline phosphatase (ALP), and parathormone (PTH) levels were evaluated. Lymphedema was classified as stage 0, I, II, or III. Results: The mean duration of lymphedema was 23.5±13.8 months. Comparisons revealed lower vitamin D levels and higher PTH and ALP levels in patients with BCRL than healthy controls. As a result of multivariate regression analysis, a significant relationship was revealed between vitamin D levels and age, breast cancer stage, and disease duration in patients with BCRL. Vitamin D levels were significantly lower and PTH levels were significantly higher in stage 3 lymphedema patients compared to stage 1. Conclusion: Vitamin D levels were detected lower in patients with lymphedema than healthy controls. Although vitamin D levels were found to be lower in patients with severe lymphedema, the multivariate regression analysis revealed that the severity of lymphedema does not have a significant effect on vitamin D levels.

Keywords: Vitamin D, breast cancer, lymphedema, parathormone
Examination of the Etiologic Causes in Patients Presenting with Elevated Parathormone

Examination of the Etiologic Causes in Patients Presenting with Elevated Parathormone

Authors: İdris Kırhan, Mehmet Ali Eren
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Abstract

Objective: Parathyroid hormone (PTH) levels are elevated in the blood due to various reasons and named as primary or secondary hyperparathyroidism. There is no any study that investigated the etiology of elevated PTH. Materials and Methods: The study included 137 patients who had elevated PTH, which was detected in blood tests that were performed due to any reason, during 1-year period. Results: Of all patients 118 (86.1%) were female and 19 (13.9%) were male. Vitamin D deficiency was found in 88 (64.2%), primary hyperparathyroidism (PHPT) in 38 (27.7%), familial hypocalciuric hypercalcemia (FHH) in 8 (5.8%), and chronic renal failure (CRF) in 3 (2.2%) patients. Conclusion: Vitamin D deficiency is a common disorder in general population, and occasionally coexisted with increased PTH level. Therefore, vitamin D deficiency should be kept in mind when PTH studied as a first test and is found to be high. The other reason such as PHPT, FHH and CRF must be also investigated.

Keywords: Parathormone, etiologic causes, vitamin D deficiency
A Rare Cause of Acute Paraplegia: Aneurysmal Bone Cyst

A Rare Cause of Acute Paraplegia: Aneurysmal Bone Cyst

Authors: Gülcan Öztürk, Ayşe Duygu Şilte Karamanlıoğlu, Pınar Akpınar, Feyza Ünlü Özkan, İlknur Aktaş
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Abstract

Aneurysmal bone cyst of the spine can rarely cause acute paraplegia in young patients. A 30-year-old male patient presented to our physical medicine and rehabilitation outpatient clinic with back pain and bilateral lower extremity weakness for 2 weeks. The patient had no history of trauma. In magnetic resonance imaging, the cystic lesions were determined which destructive, contain internal septations and have multiple fluid-fluid levels at the T5-T6 level. The aneurysmal bone cyst was shown by histopathology. Complete resection to the cystic lesion and posterior segmental instrumentation at T2-T7 level were performed. In the control examination performed 6 months later, lower extremity muscle strength was complete and no recurrence was detected.

Keywords: Acute paraplegia, aneurysmal bone cyst, young patient
Sarcoidosis Revealed with Skin Manifestations and Acute Arthritis

Sarcoidosis Revealed with Skin Manifestations and Acute Arthritis

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Abstract

A 37-year-old female patient admitted to our clinic with swelling in both knees and ankles and eruptions in her body. The patient was examined for the etiology of arthritis. In the biopsy taken from the plaque lesions on the skin, granulomatous sarcoidal lesions were detected. The case was diagnosed as sarcoidosis along with clinical, laboratory, and radiological findings. Sarcoidosis started with skin involvement is rarely seen in the literature. Biopsy from specific skin lesions allows diagnosis without the need for an invasive transbronchial biopsy. Therefore, we aimed to present a case of sarcoidosis diagnosed with skin manifestations.

Keywords: Sarcoidosis, arthritis, skin manifestations

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