Sarcoid Myopathy Mimicking Polymyositis: A Case Report and Pool Analysis of the Literature Reviews.
Acta Med Iran
; 55(12): 800-806, 2017 Dec.
Article
em En
| MEDLINE
| ID: mdl-29373888
ABSTRACT
A 59-year-old man presented with proximal myopathy, myalgia, and weight loss, with the initial markedly elevated serum creatine kinase at 11,000 U/L. Due to his refusal for muscle biopsy, he was initially treated as inflammatory myositis and responded well with the corticosteroids. However, he subsequently had a relapse of the symptoms with more extensive systemic involvement, i.e., hypercalcemia, lymphadenopathy and subcutaneous nodules. Finally, a biopsy of the thigh and subcutaneous nodule revealed non-caseating granulomatous inflammation, consistent with sarcoidosis. He responded well to the corticosteroids, and finally, azathioprine was added as a steroid-sparing agent. Including our series, there are 103 cases of symptomatic muscle involvement in sarcoidosis patients published in the English literature to date. Further pool analysis of the cases will be reported in this review.
Palavras-chave
Buscar no Google
Bases de dados:
MEDLINE
Assunto principal:
Sarcoidose
/
Polimiosite
/
Miosite
Tipo de estudo:
Diagnostic_studies
/
Systematic_reviews
Limite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Acta Med Iran
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Malásia