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

Hideki Nakamura | Zendy; Akitomo Okada | Zendy; Atsushi Kawakami | Zendy; Satoshi Yamasaki | Zendy; Hiroaki Ida | Zendy; Tomoko Masuda | Zendy; Taku Fukuda | Zendy; Katsuya Satoh | Zendy; Toshiro Yoshimura | Zendy; Munetoshi Nakashima | Zendy; Tomayoshi Hayashi | Zendy; Katsumi Eguchi | Zendy

Open Access

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

Author(s) -

Hideki Nakamura,

Akitomo Okada,

Atsushi Kawakami,

Satoshi Yamasaki,

Hiroaki Ida,

Tomoko Masuda,

Taku Fukuda,

Katsuya Satoh,

Toshiro Yoshimura,

Munetoshi Nakashima,

Tomayoshi Hayashi,

Katsumi Eguchi

Publication year - 2009

Publication title -

rheumatology international

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.806

H-Index - 74

eISSN - 1437-160X

pISSN - 0172-8172

DOI - 10.1007/s00296-009-1076-3

Subject(s) - medicine , rheumatoid arthritis , vasculitis , muscle biopsy , myopathy , inflammatory myopathy , magnetic resonance imaging , mononeuritis multiplex , rheumatology , pathology , biopsy , dysesthesia , radiology , surgery , disease

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.

The content you want is available to Zendy users.

Already have an account? Click here to sign in.

Having issues? You can contact us here

Accelerating Research