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;
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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.
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页码:149 / 153
页数:4
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