Leg Pain From Periostitis as the First Clinical Manifestation of Large-Vessel Vasculitis: A Case Report
- 3 July 2017
- Vol. 10 (2), 222-226
- https://doi.org/10.1016/j.pmrj.2017.06.020
Abstract
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 MRI 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 could easily be misdiagnosed. This case demonstrates that maintaining a broad differential diagnosis for a common presenting complaint such as localized leg pain is imperative.Keywords
This publication has 9 references indexed in Scilit:
- Large Vessel (Takayasu's) Arteritis in a Patient With Myelodysplastic Syndrome: Is There a Common Pathogenesis?Clinical Lymphoma Myeloma and Leukemia, 2011
- Isolated periostitis as a manifestation of systemic vasculitis in a child: imaging featuresPediatric Radiology, 2010
- A case of Takayasu's arteritis and aortic regurgitation, which presented much difficulty in the diagnosing process because of complicated osteomyelitis and non-typical manifestationsJournal of Cardiology, 2009
- Pseudoarthrosis and ankylosis of the vertebral spine without sacroiliitis associated with Takayasu's arteritis: review of the associationSkeletal Radiology, 2002
- Takayasu's arteritis presenting with focal periostitis affecting two limbsInternational Journal of Cardiology, 1998
- Case report: Periosteal new bone formation in Takayasu arteritisClinical Radiology, 1995
- Pyoderma Gangrenosum and Sterile Multifocal Osteomyelitis Preceding the Appearance of Takayasu ArteritisPediatric Dermatology, 1995
- The American College of Rheumatology 1990 criteria for the classification of takayasu arteritisArthritis & Rheumatism, 1990
- The American College of Rheumatology 1990 criteria for the classification of giant cell arteritisArthritis & Rheumatism, 1990