Waking gym-like pains lead to rare sarcoidosis diagnosis and paralysis
A 38-year-old woman woke with gym-style aches and rapidly lost movement in her legs and arm, later being diagnosed with extrapulmonary sarcoidosis that affects the limbs but not the lungs. After extensive testing and hospital care, she was treated with methotrexate before switching to adalimumab, moved back to the UK for ongoing care, and now relies on 24-hour support and a wheelchair during flare-ups. Her life has drastically shifted from travel and work to chronic pain and limited mobility, with ongoing treatment and limited medical literature on her condition.
