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Rheumatoid vasculitis of crural muscles confirmed by muscle biopsy in the absence of inflammatory myopathy: histologic and MRI study.


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Title: Rheumatoid vasculitis of crural muscles confirmed by muscle biopsy in the absence of inflammatory myopathy: histologic and MRI study.
Authors: Nakamura, Hideki / Okada, Akitomo / Kawakami, Atsushi / Yamasaki, Satoshi / Ida, Hiroaki / Masuda, Tomoko / Fukuda, Taku / Satoh, Katsuya / Yoshimura, Toshiro / Nakashima, Munetoshi / Hayashi, Tomayoshi / Eguchi, Katsumi
Issue Date: Aug-2010
Publisher: Springer Berlin
Citation: Rheumatology international, 30(10), pp.1381-1383; 2010
Abstract: A 60-year-old man who had been diagnosed as rheumatoid arthritis admitted to our hospital by dysesthesia on his legs with edema. Nerve conduction velocity test led to diagnosis of mononeuritis multiplex. Magnetic resonance imaging (MRI) of lower legs showed high intensity in slow tau inversion recovery. Typical vasculitis with neutrophil-dominant cell infiltration was observed by muscle biopsy without inflammatory myopathy or fascitis. Diagnosis was made by rheumatoid vasculitis found in crural muscles. Intravenous cyclophosphamide with oral tacrolimus effectively improved dysesthesia with reduction of inflammatory response.
Keywords: Cyclophosphamide / Magnetic resonance imaging / Muscle biopsy / Rheumatoid vasculitis
URI: http://hdl.handle.net/10069/22477
ISSN: 01728172
DOI: 10.1007/s00296-009-1076-3
PubMed ID: 19639318
Rights: © Springer-Verlag 2009 / The original publication is available at www.springerlink.com
Type: Journal Article
Text Version: author
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/22477

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