DOI QR코드

DOI QR Code

A Rare Case of Limited Muscle Involvement in Polyarteritis Nodosa

  • Song, Sung Oh (Department of Radiology, Inha University College of Medicine) ;
  • Lee, Ro Woon (Department of Radiology, Inha University College of Medicine) ;
  • Lim, Mie Jin (Department of Rheumatology, Inha University College of Medicine) ;
  • Kwon, Seong Ryul (Department of Rheumatology, Inha University College of Medicine) ;
  • Park, Won (Department of Rheumatology, Inha University College of Medicine)
  • Received : 2021.01.16
  • Accepted : 2021.02.23
  • Published : 2021.03.30

Abstract

Polyarteritis nodosa (PAN) is a systemic vasculitis involving small- and medium-sized arteries, which presents with necrotizing inflammation. PAN occurs as a systemic disease or as a limited form confined to a single organ. Few cases have been reported with single organ involvement, and even fewer have been reported with skeletal muscle involvement. Herein, we report the ultrasonography and magnetic resonance imaging findings in a rare case of PAN with limited muscle involvement in a 66-year-old man.

Keywords

References

  1. Jennette JC, Falk RJ, Bacon PA, et al. 2012 revised International Chapel Hill Consensus Conference Nomenclature of Vasculitides. Arthritis Rheum 2013;65:1-11 https://doi.org/10.1002/art.37715
  2. Colmegna I, Maldonado-Cocco JA. Polyarteritis nodosa revisited. Curr Rheumatol Rep 2005;7:288-296 https://doi.org/10.1007/s11926-005-0039-2
  3. Hernandez-Rodriguez J, Alba MA, Prieto-Gonzalez S, Cid MC. Diagnosis and classification of polyarteritis nodosa. J Autoimmun 2014;48-49:84-89 https://doi.org/10.1016/j.jaut.2014.01.029
  4. Kang Y, Hong SH, Yoo HJ, et al. Muscle Involvement in Polyarteritis Nodosa: Report of Eight Cases With Characteristic Contrast Enhancement Pattern on MRI. AJR Am J Roentgenol 2016;206:378-384 https://doi.org/10.2214/AJR.15.14774
  5. Revelon G, Rahmouni A, Jazaerli N, et al. Acute swelling of the limbs: magnetic resonance pictorial review of fascial and muscle signal changes. Eur J Radiol 1999;30:11-21 https://doi.org/10.1016/S0720-048X(98)00119-3
  6. Guillevin L, Pagnoux C, Teixeira L. Polyarteritis nodosa and microscopic polyangiitis. In Ball GV, Bridges SL, eds. Vasculitis. 2nd ed. Oxford: Oxford University Press, 2008:335-364
  7. Plumley SG, Rubio R, Alasfar S, Jasin HE. Polyarteritis nodosa presenting as polymyositis. Semin Arthritis Rheum 2002;31:377-383 https://doi.org/10.1053/sarh.2002.32549
  8. Khellaf M, Hamidou M, Pagnoux C, et al. Vasculitis restricted to the lower limbs: a clinical and histopathological study. Ann Rheum Dis 2007;66:554-556 https://doi.org/10.1136/ard.2006.065110
  9. Matsubara S, Mair WG. Ultrastructural changes of skeletal muscles in polyarteritis nodosa and in arteritis assoicated with rheumatoid arthritis. Acta Neuropathol 1980;50:169-174 https://doi.org/10.1007/BF00688749
  10. Pearson CM, Currie S. Polymyositis and related disorders. In Walton JN, ed. Disorders of voluntary muscle. Edinburgh, UK: Churchill Livingstone, 1974:614-652
  11. Plumley SG, Rubio R, Alasfar S, Jasin HE. Polyarteritis nodosa presenting as polymyositis. Semin Arthritis Rheum 2002;31:377-383 https://doi.org/10.1053/sarh.2002.32549
  12. Reimers CD, Schedel H, Fleckenstein JL, et al. Magnetic resonance imaging of skeletal muscles in idiopathic inflammatory myopathies of adults. J Neurol 1994;241:306-314 https://doi.org/10.1007/BF00868438
  13. Gallien S, Mahr A, Rety F, et al. Magnetic resonance imaging of skeletal muscle involvement in limb restricted vasculitis. Ann Rheum Dis 2002;61:1107-1109 https://doi.org/10.1136/ard.61.12.1107