(A) Magnetic resonance imaging (MRI) of bilateral thighs. Coronal T2 MRI showed hyperintense lesions involving multiple bilateral thigh muscles (arrows). (B) MRI of right hand. Trans axial T2-weighted low signal intensity lesions seen on adductor pollicis and intrinsic muscles of the hand indicating fibrotic bands (arrows).|@|~(^,^)~|@|Right gastrocnemius muscle biopsy showed hallmark of non-caseating granuloma of sarcoidosis. Central area of multinucleated giant cells, epithelioid cells and macrophages surrounded by lymphocytes and fibroblasts (arrow). Gastrocnemius biopsy; hematoxylin–eosin (H&E) stain; original magnification, 40×.|@|~(^,^)~|@|(A) Dorsum of hands before surgery. Marked flexion contracture was observed on bilateral index and middle finger metacarpophalangeal joints, contracture of the first and second web spaces and left flexor pollicis longus contracture. (B) Volar aspect of hands before surgery.|@|~(^,^)~|@|(A) Dorsum of hands after surgery. Note the extension of bilateral index and middle finger metacarpophalangeal joints, widening of first and second web spaces and the left thumb in full extension. (B) Volar aspect of hands after surgery.

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