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Leg Pain From Periostitis as the First Clinical Manifestation of Large‐Vessel Vasculitis: A Case Report
Author(s) -
Bogaert Bert,
Brys Peter,
Peers Koen
Publication year - 2018
Publication title -
pmandr
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.617
H-Index - 66
eISSN - 1934-1563
pISSN - 1934-1482
DOI - 10.1016/j.pmrj.2017.06.020
Subject(s) - periostitis , medicine , vasculitis , differential diagnosis , magnetic resonance imaging , edema , dermatology , systemic vasculitis , radiology , surgery , pathology , disease
We report a case of a 47‐year‐old woman with isolated periostitis of the lower leg as a first manifestation of large‐vessel vasculitis. The diagnosis was first suspected when a second magnetic resonance imaging of the lower leg approximately 4 months after onset of shin pain showed edema near intramuscular vessels. Isolated periostitis is a very rare skeletal manifestation of systemic vasculitis and easily could be misdiagnosed. This case demonstrates that maintaining a broad differential diagnosis for a common presenting complaint such as localized leg pain is imperative. Level of Evidence V