Gastrocnemius Myalgia as a Rare Initial Manifestation of Crohn's Disease

Internal Medicine
Atsumu OsadaShohei Nagaoka

Abstract

The initial symptoms of Crohn's disease (CD) sometimes present as extraintestinal lesions, which can be a diagnostic challenge for physicians. Painful legs, known as "gastrocnemius myalgia syndrome", are rare complications that often precede abdominal manifestations. We herein report the case of a 38-year-old man who presented with bilateral leg myalgia lasting for 4 months. Magnetic resonance imaging showed abnormal intensity, and a muscle biopsy revealed inflammatory cell infiltration. Abdominal symptoms appeared three months after the myalgia onset, and the diagnosis of CD was confirmed later by endoscopic and radiological findings. To our knowledge, this is the first description of gastrocnemius myalgia syndrome in Japan.

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Citations

Apr 3, 2019·The Journal of Manual & Manipulative Therapy·Gary KearnsJacqueline Doidge
Apr 4, 2021·Journal of the Neurological Sciences·José M Ferro, Miguel Oliveira Santos
Jul 10, 2021·Zeitschrift für Rheumatologie·Nikolas RufferIna Kötter

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Methods Mentioned

BETA
biopsy

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