Symptomatic macroglossia and tongue myositis in polymyositis: Treatment with corticosteroids and intravenous immunoglobulin
| Autor: | E. Chauvet, J. R. Paoli, P. Arrue, M. B. Delisle, Miguel Carreiro, Leonardo Astudillo, F. Oksmann, Ph. Arlet, Laurent Sailler |
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| Rok vydání: | 2002 |
| Předmět: |
Male
medicine.medical_specialty Systemic disease Immunology Polymyositis Tongue Rheumatology Swallowing Macroglossia Biopsy Humans Immunology and Allergy Medicine Pharmacology (medical) Mastication Myositis medicine.diagnostic_test business.industry Hypertrophy Middle Aged medicine.disease Magnetic Resonance Imaging Surgery medicine.anatomical_structure medicine.symptom business |
| Zdroj: | Arthritis & Rheumatism. 46:2762-2764 |
| ISSN: | 1529-0131 0004-3591 |
| DOI: | 10.1002/art.10548 |
| Popis: | Symptomatic macroglossia occurs in some rare congenital muscle diseases, such as Becker's and Duchenne's dystrophies or Pompe's disease. Herein we describe a case of symptomatic macroglossia with myositis of the tongue occurring in a patient with polymyositis. Tongue myositis was evidenced by dysarthria, frequent biting during mastication, swallowing difficulties without aspiration, and noisy breathing. Magnetic resonance imaging showed homogeneous hypertrophy of the tongue, especially the mouth's floor muscles. The diagnosis of tongue myositis was established by electromyography and biopsy. No other cause for the macroglossia was found. Symptoms resolved quickly with corticosteroid and intravenous immunoglobulin treatment. To our knowledge, this is the first reported case of symptomatic tongue myositis occurring in the course of polymyositis. |
| Databáze: | OpenAIRE |
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