Polyarteritis nodosa limited to calf muscles: a case report and review of the literature
| Autor: | Itsuo Honda, Yuji Yamamura, Michishi Tsukano, Kunihiko Tomoda, Ken-ichi Iyama, Tadashi Nakamura |
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| Rok vydání: | 2003 |
| Předmět: |
Adult
Pathology medicine.medical_specialty Biopsy Anti-Inflammatory Agents Rheumatology Prednisone medicine Humans Arteritis Fasciitis Muscle Skeletal medicine.diagnostic_test Polyarteritis nodosa business.industry Magnetic resonance imaging General Medicine Hepatitis B medicine.disease Magnetic Resonance Imaging Polyarteritis Nodosa Carrier State Female Vasculitis business medicine.drug |
| Zdroj: | Clinical Rheumatology. 22:149-153 |
| ISSN: | 1434-9949 0770-3198 |
| Popis: | We describe an unusual case of a 38-year-old woman with a localised form of polyarteritis nodosa (PAN) manifested by acute onset of severe calf pain. Magnetic resonance imaging of the lower legs showed abnormal signal intensity of the outer calves muscle. Biopsies of the gastrocnemius revealed an acute necrotising arteritis with marked non-specific fasciitis. The diseased muscle improved with corticosteroid administration alone. The fascial involvement likely contributed to the severity of the clinical features of PAN, which may be related to a previous hepatitis B virus infection. |
| Databáze: | OpenAIRE |
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