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MR Vol.12 No.1 indexに戻る
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MODERN RHEUMATOLOGY
Vol.12 No.1 |
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A case of eosinophilic myositis associated with
orbital myositis |
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| M. Nakashima1, Y. Kawabe1, T. Aoyagi1,
I. Furuichi1, K. Maeda1, S. Naito2, A. Kawakami3, K. Eguchi3 |
(1)Department of Rheumatology, National Ureshino
Hospital, 2436 Shimojuku Hei, Ureshino-machi, Fujitsu-gun, Saga
843-0393, Japan
(2)Department of Pathology, National Ureshino Hospital, Fujitsu-gun, Saga,
Japan
(3)1st Department of Internal Medicine, School of Medicine, Nagasaki University,
Nagasaki, Japan |
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| Abstract |
| Abstract A 29-year-old woman was admitted
to our hospital because of fever, myalgia, and ocular pain. She
had been given norgesterone and ethinylestradiol orally. Laboratory
data indicated the presence of systemic inflammation together with
elevated levels of muscle enzymes. Magnetic resonance imaging revealed
inflammatory lesions in skeletal and extraocular muscles. The diagnosis
of eosinophilic myositis was based on histopathological examination
of the deltoid muscle, which showed infiltration of eosinophils
into the tissue with necrotizing muscle fibers. Prednisolone treatment
resulted in marked clinical improvement. This is the first case
report of eosinophilic myositis in which the extraocular muscles
were affected. |
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| Key words |
| Key words Eosinophilic myositis ・ Estradiol
・ Orbital myositis |
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