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Gastrocnemius Myalgia as a Rare Initial Manifestation of Crohn's Disease
- Source :
- Internal Medicine
- Publication Year :
- 2018
- Publisher :
- Japanese Society of Internal Medicine, 2018.
-
Abstract
- The initial symptoms of Crohn's disease (CD) sometimes present as extraintestinal lesions, which can be a diagnostic challenge for physicians. Painful legs, known as "gastrocnemius myalgia syndrome", are rare complications that often precede abdominal manifestations. We herein report the case of a 38-year-old man who presented with bilateral leg myalgia lasting for 4 months. Magnetic resonance imaging showed abnormal intensity, and a muscle biopsy revealed inflammatory cell infiltration. Abdominal symptoms appeared three months after the myalgia onset, and the diagnosis of CD was confirmed later by endoscopic and radiological findings. To our knowledge, this is the first description of gastrocnemius myalgia syndrome in Japan.
- Subjects :
- Adult
Male
myalgia
medicine.medical_specialty
Case Report
Disease
Gastroenterology
03 medical and health sciences
0302 clinical medicine
extraintestinal manifestation
Crohn Disease
Japan
Internal medicine
Internal Medicine
Humans
Medicine
Muscle, Skeletal
Analgesics
Crohn's disease
Muscle biopsy
medicine.diagnostic_test
business.industry
Crohn disease
Magnetic resonance imaging
Myalgia
General Medicine
medicine.disease
Inflammatory cell infiltration
gastrocnemius myalgia syndrome
body regions
Treatment Outcome
030211 gastroenterology & hepatology
Abdominal symptoms
medicine.symptom
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 13497235 and 09182918
- Volume :
- 57
- Database :
- OpenAIRE
- Journal :
- Internal Medicine
- Accession number :
- edsair.doi.dedup.....3130383fa443ff995f0a0893573c75bd