Kamimura Takeshi, Hatakeyama Makio, Torigoe Kimiaki, Nara Hiroyuki, Kaneko Naoko, Satou Hidetomo, Yoshio Taku, Okazaki Hitoaki, Minota Seiji
Division of Rheumatology and Clinical Immunology, Department of Medicine, Jichi Medical School, Minamikawachi-machi, Kawachi-gun, Tochigi, Japan.
Rheumatol Int. 2005 Jun;25(5):394-7. doi: 10.1007/s00296-004-0531-4. Epub 2004 Nov 10.
We describe an unusual presentation of a localized form of polyarteritis nodosa (PAN) manifested by fever of undetermined origin (FUO). Biopsies of the gastrocnemius muscle revealed necrotizing arteritis and initiation of prednisolone (PSL) brought rapid response. The PAN localized to muscle is rare; furthermore, this disease presented as FUO is very rare. We want to increase awareness that muscle can be also a single-affected site as well as other well known sites such as appendix, gallbladder, uterus or testis, and skin. Since there is no single appellation for this disease, we would like to propose the term "muscular PAN".
我们描述了结节性多动脉炎（PAN）局限性形式的一种不寻常表现，其以不明原因发热（FUO）为特征。腓肠肌活检显示坏死性动脉炎，泼尼松龙（PSL）治疗后迅速起效。局限于肌肉的PAN很罕见；此外，这种疾病以FUO形式出现非常罕见。我们希望提高人们的认识，即肌肉也可能是单一受累部位，如同阑尾、胆囊、子宫或睾丸以及皮肤等其他众所周知的部位一样。由于这种疾病没有单一的名称，我们建议使用“肌肉型PAN”这一术语。
