Recurrent focal myofasciitis of Behçet syndrome mimics infectious myofasciitis: a case report

被引:0
作者
Chung, Sang Wan [1 ]
Lee, Joo Ho [2 ]
Ha, You-Jung [2 ]
Ha Kang, Eun [2 ]
Lee, Yun Jong [2 ,3 ,4 ]
机构
[1] Kyung Hee Univ, Coll Med, Dept Internal Med, Div Rheumatol,Kyung Hee Univ Hosp, Seoul, South Korea
[2] Seoul Natl Univ, Bundang Hosp, Dept Internal Med, Div Rheumatol, Seongnam, South Korea
[3] Seoul Natl Univ, Dept Med Device Dev, Grad Sch, Seongnam, South Korea
[4] Seoul Natl Univ, Bundang Hosp, Dept Internal Med, 82 Gumi Ro 173 Beon Gil, Seongnam 13620, South Korea
来源
JOURNAL OF RHEUMATIC DISEASES | 2023年 / 30卷 / 04期
关键词
Case reports; Behcet syndrome; Myositis; Myalgia; Vasculitis; BEHCETS-DISEASE; INVOLVEMENT; MYOSITIS;
D O I
10.4078/jrd.2023.0020
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Behcet syndrome (BS) is a chronic inflammatory disease with multiorgan manifestations. However, muscular involvement in BS has rarely been reported. Herein, we report the case of a 30-year-old male with BS who had recurring pain and swelling of the lower legs. The patient was administered antibiotics on several occasions as the condition was misinterpreted to be infectious myositis. Magnetic resonance imaging revealed myofascial involvement with focal necrotic lesions, and muscle biopsy revealed acute suppurative myositis with perivascular infiltration of polymorphonuclear leukocytes. His symptoms improved after treatment with corticosteroids. Azathioprine and colchicine therapy was beneficial for preventing further relapse after short-term corticosteroid treatment. Therefore, BS should be considered in the differential diagnosis of focal suppurative myofasciitis.
引用
收藏
页码:268 / 271
页数:4
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