A unique case of hemi-tongue pseudohypertrophy, necrotizing myopathy, and erythema nodosum
Author(s) -
Kota Sato,
Yoshiaki Takahashi,
Toru Yamashita,
Mami Takemoto,
Nozomi Hishikawa,
Shang Jinwei,
Yasuyuki Ohta,
Koji Abe
Publication year - 2018
Publication title -
neurology international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.39
H-Index - 16
ISSN - 2035-8377
DOI - 10.4081/ni.2018.7852
Subject(s) - medicine , erythema nodosum , muscle biopsy , tongue , myopathy , erythema , weakness , biopsy , sarcoidosis , dermatology , pathology , muscle weakness , anatomy , disease
A 46-year-old woman developed slowly progressive tongue weakness with a pseudohypertrophic change on the right side of her tongue. She subsequently developed weakness in her proximal lower extremities, skin erythema and a sustained increase of muscle enzymes at 11 M after the onset. A biopsy of the quadriceps muscle showed necrotizing myopathy and a skin biopsy showed erythema nodosum. The present case showed characteristic clinical manifestations that may represent a rare variant of sarcoidosis.
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