骨膜炎导致腿部疼痛为大血管血管炎的首发临床表现：病例报告。

Leg Pain From Periostitis as the First Clinical Manifestation of Large-Vessel Vasculitis: A Case Report.

机构信息

Department of Physical Medicine and Rehabilitation, University Hospitals Leuven, Leuven, Belgium.

Department of Radiology, University Hospitals Leuven, Leuven, Belgium.

出版信息

PM R. 2018 Feb;10(2):222-226. doi: 10.1016/j.pmrj.2017.06.020. Epub 2017 Jul 3.

DOI:10.1016/j.pmrj.2017.06.020

PMID:28684264

Abstract

UNLABELLED

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

摘要

摘要：我们报告了一例 47 岁女性，小腿单独骨膜炎是大血管血管炎的首次表现。当小腿疼痛发作约 4 个月后第二次磁共振成像显示肌肉内血管附近有水肿时，首先怀疑诊断为大血管血管炎。小腿单独骨膜炎是系统性血管炎非常罕见的骨骼表现，容易误诊。本病例表明，对于局部腿部疼痛等常见表现，保持广泛的鉴别诊断至关重要。

证据等级：V。