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

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 intram...

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Bibliographic Details
Published in:PM & R Vol. 10; no. 2; pp. 222 - 226
Main Authors: Bogaert, Bert, Brys, Peter, Peers, Koen
Format: Journal Article
Language:English
Published: United States 01-02-2018
Online Access:Get full text
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Summary: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 V
Bibliography:Disclosure: nothing to disclose
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ISSN:1934-1482
1934-1563
DOI:10.1016/j.pmrj.2017.06.020