肌痛
医学
肌炎
肌肉活检
活检
腓肠肌
病理
内科学
骨骼肌
作者
Masayoshi Yamamoto,Matsuhisa Inoue,Naoko Tachibana,Koji Tsuzaki,Yoko Shibata,Toshiaki Hamano
出处
期刊:Rinshō shinkeigaku
[Societas Neurologica Japonica]
日期:2017-01-01
卷期号:57 (2): 71-76
被引量:2
标识
DOI:10.5692/clinicalneurol.cn-000891
摘要
The patient was a 36-year-old man. His initial symptom was bilateral thigh and calf pain. When he developed ulcerative colitis in the following year, he also noticed wasting of the calf muscles. The clinical feature is similar to gastrocnemius myalgia syndrome, although the left upper limb was also involved. A high-intensity lesion in the left calf and soleus muscles was observed on MRI, which was lead to the diagnosis of non-granulomatous myositis with infiltration of CD68-positive cells based on muscle biopsy. After steroids were administered, his pain subsided. Evaluation with needle EMG, MRI, and muscle biopsy is important when muscle pain accompanies inflammatory bowel disease.
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