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A 62-year-old woman presented with lumbar back pain and restricted mobility. There was a past history of osteoarthritis and sarcoidosis. A neck mass had been resected as a child but the diagnosis of sarcoidosis was first raised when granulomata were noted as a presumed incidental finding following cholecystectomy some 8 years prior to the current presentation. More recently, biopsy of a chest wall skin lesion by the general practitioner had revealed histological …
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