Myositis as the initial presentation of panarteritis nodosa.
Miositis como forma de presentación de panarteritis nodosa.
Miositis
Myositis
Poliarteritis nodosa
Polyarteritis nodosa
Vasculitis
Journal
Reumatologia clinica
ISSN: 2173-5743
Titre abrégé: Reumatol Clin (Engl Ed)
Pays: Spain
ID NLM: 101717526
Informations de publication
Date de publication:
Historique:
received:
15
05
2017
revised:
01
06
2017
accepted:
16
06
2017
pubmed:
2
8
2017
medline:
25
4
2020
entrez:
31
7
2017
Statut:
ppublish
Résumé
A 47-year-old man presented with weight loss, bilateral calf pain, fever, hypertension, orchitis and oligoarthritis. Lab tests: anemia and elevated muscle enzymes. Resonance magnetic imaging: hyperintensity in gastrocnemius muscles (myositis). Histologic exam of the muscles: inflammatory infiltrate with atrophy and perifascicular regeneration. Treatment: methylprednisone (bolus) and cyclophosphamide. Muscle pain and swelling and difficulty in walking are common in panarteritis nodosa (PAN), whereas histologically demonstrated myositis is not. Even more rare is myositis as the initial presentation of this vasculitis.
Identifiants
pubmed: 28755909
pii: S1699-258X(17)30169-9
doi: 10.1016/j.reuma.2017.06.010
pii:
doi:
Substances chimiques
Immunosuppressive Agents
0
meprednisone
67U96J8P35
Cyclophosphamide
8N3DW7272P
Prednisone
VB0R961HZT
Methylprednisolone
X4W7ZR7023
Types de publication
Case Reports
Journal Article
Langues
eng
spa
Sous-ensembles de citation
IM
Pagination
e24-e26Informations de copyright
Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología. All rights reserved.