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    Polyarteritis nodosa presenting with clinical and radiologic features suggestive of polymyositis.

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    Authors
    Haroon, Muhammad
    Bermingham, Niamh
    Keohane, Catherine
    Harney, Sinead
    Affiliation
    Department of Rheumatology, Cork University Hospital, Cork, Ireland, Mharoon301@hotmail.com.
    Issue Date
    2011-02-18
    
    Metadata
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    Citation
    Polyarteritis nodosa presenting with clinical and radiologic features suggestive of polymyositis. 2011: Rheumatol. Int.
    Publisher
    Springer
    Journal
    Rheumatology international
    URI
    http://hdl.handle.net/10147/198852
    DOI
    10.1007/s00296-011-1828-8
    PubMed ID
    21331572
    Abstract
    We report a patient who presented with clinical and MRI findings suggestive of polymyositis but, in whom, muscle biopsy disclosed a strikingly different diagnosis. A 65-year-old woman presented with 3-week history of bilateral proximal muscle pain and weakness. Laboratory investigations showed markedly elevated inflammatory markers and mildly elevated muscle enzymes. MRI scans of lower limbs showed features suggestive of polymyositis. However, muscle biopsy showed features of a polyarteritis-type vasculitis affecting an intramuscular blood vessel. Our reports highlight the critical role of muscle biopsy in establishing the correct diagnosis in patients with suspected myositis.
    Item Type
    Article
    Language
    en
    ISSN
    1437-160X
    ae974a485f413a2113503eed53cd6c53
    10.1007/s00296-011-1828-8
    Scopus Count
    Collections
    Cork University Hospital

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