Localised gastrocnemius myositis in Crohn's disease

被引：27

作者：

Christopoulos, C ^{[1
]}

Savva, S ^{[1
]}

Pylarinou, S ^{[1
]}

Diakakis, A ^{[1
]}

Papavassiliou, E ^{[1
]}

Economopoulos, P ^{[1
]}

机构：

[1] Amalia Fleming Gen Hosp, Athens 14561, Greece

来源：

CLINICAL RHEUMATOLOGY | 2003年 / 22卷 / 02期

关键词：

Crohn's disease; inflammatory bowel disease; myalgia; myositis;

D O I：

10.1007/s10067-002-0679-9

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 19-year-old woman presented with pain and tenderness in both calves associated with pyrexia and neutrophil leukocytosis. Gastrocnemius muscle biopsy showed a non-specific lymphocytic myositis and she was found to have positive c-ANCA, in the absence of other evidence of systemic vasculitis. Subsequent investigation of her gastrointestinal tract revealed extensive Crohn's disease. The myositis responded promptly to treatment with prednisolone 0.5 mg/kg. A review of the literature showed that localised calf pain in the setting of Crohn's disease can be caused by non-specific myositis, granulomatous myositis or vasculitis. It is proposed that the ''gastrocnemius myalgia syndrome'' be included in the typical-albeit rare-extraintestinal manifestations that may herald the appearance of inflammatory bowel disease.

引用

页码：143 / 145

页数：3

共 16 条

[1] Inflammatory bowel disease and myositis [J].