Polyarteritis nodosa limited to calf muscles: a case report and review of the literature

被引：0

作者：

Tadashi Nakamura

Kunihiko Tomoda

Yuji Yamamura

Michishi Tsukano

Itsuo Honda

Ken-ichi Iyama

机构：

[1] Section of Internal Medicine and Rheumatology,

[2] Kumamoto Center for Arthritis and Rheumatology,undefined

[3] 1-15-7 Kuhonji,undefined

[4] Kumamoto 862-0976,undefined

[5] Japan Tel.: 81 96 366 3666 Fax: 81 96 362 2413 e-mail: naktrkme@koh.marutakai.or.jp,undefined

[6] Section of Orthopaedics and Rheumatology,undefined

[7] Kumamoto Center for Arthritis and Rheumatology,undefined

[8] 1-15-7 Kuhonji,undefined

[9] Kumamoto 862-0976,undefined

[10] Japan,undefined

[11] Department of Surgical Pathology,undefined

[12] Kumamoto University School of Medicine,undefined

[13] 1-1-1 Honjo,undefined

[14] Kumamoto 860-8556,undefined

[15] Japan,undefined

来源：

Clinical Rheumatology | 2003年 / 22卷

关键词：

Keywords Calf muscles; Localised; Polyarteritis nodosa; Vasculitis;

D O I：

暂无

中图分类号：

学科分类号：

摘要：

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.

引用

页码：149 / 153

页数：4