ACUTE GASTROCNEMIUS MYOSITIS - ANOTHER EXTRAINTESTINAL MANIFESTATION OF CROHNS-DISEASE

被引:15
作者
DRABBLE, EM [1 ]
GANI, JS [1 ]
机构
[1] JOHN HUNTER HOSP,DEPT SURG,LOOKOUT RD,NEW LAMBTON HTS,NSW 2305,AUSTRALIA
关键词
D O I
10.5694/j.1326-5377.1992.tb137184.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: To present the first case in Australia of skeletal muscle inflammation as a manifestation of Crohn's disease. Clinical features: A 50-year-old man was admitted to hospital with a two-week history of bloody diarrhoea, weight loss of 3 kg, soreness of his calf and thigh muscles, and night sweats. A clinical diagnosis of acute Crohn's gastrocnemius myositis was made. Muscle biopsy was not performed. Intervention and outcome: He was prescribed hydrocortisone by the intravenous route, which was replaced by prednisone by mouth. The myositis resolved completely within 48 hours. Conclusion: Corticosteroids are an effective treatment for this rare extraintestinal manifestation of Crohn's disease. Invasive investigations can be reserved for those who fail to respond.
引用
收藏
页码:318 / 320
页数:3
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