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A case of eosinophilic orbital myositis associated with CSS

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Modern Rheumatology

Abstract

We report a novel case of eosinophilic orbital myositis associated with Churg–Strauss syndrome. A 56-year-old man with a 20-year history of chronic sinusitis and seasonal allergic rhinitis was admitted because of fever, swelling of cheeks and extremities, diplopia, and eosinophilia. With findings from gadolinium-enhanced FST1WI of the orbits and a muscle biopsy of the skeletal muscle, the diagnosis was made. He was treated with oral corticosteroid, and his symptoms rapidly improved.

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References

  1. Kaufman LD, Kephart GM, Seidman RJ, Buhner D, Qvarfordt I, Nässberger L, et al. The spectrum of eosinophilic myositis. Arthritis Rheum. 1993;36(7):1014–24.

    Article  CAS  PubMed  Google Scholar 

  2. Espino-Montoro A, Medina M, Marin-Martin J, Jimenez-Gonzalo FJ, Moalla AK, Fernandez-Gonzalez G, et al. Idiopathic eosinophilic myositis associated with vasculitis and symmetrical polyneuropathy. Br J Rheumatol. 1997;36(2):276–9.

    Article  CAS  PubMed  Google Scholar 

  3. Kubota T, Kano H. Assessment of inflammation in idiopathic orbital myositis with fat-suppressed T2-weighted magnetic resonance imaging. Am J Ophthalmol. 2007;143(4):718–20.

    Article  PubMed  Google Scholar 

  4. Nakashima M, Kawabe Y, Aoyagi T, Furuichi I, Maeda K, Naito S, et al. A case of eosinophilic myositis associated with orbital myositis. Mod Rheumatol. 2002;12:80–3.

    Article  Google Scholar 

  5. Sheikh J, Weller PF. Clinical overview of hypereosinophilic syndromes. Immunol Allergy Clin North Am. 2007;27:333–55.

    Article  PubMed  Google Scholar 

  6. Nabili S, McCarey DW, Browne B, Capell HA. A case of orbital myositis associated with rheumatoid arthritis. Ann Rheum Dis. 2002;61(10):938–9.

    Article  CAS  PubMed  Google Scholar 

  7. Ajitsaria R, Dale R, Ferguson V, Mayou S, Cavanagh N. Psoriasis, psoriatic arthropathy and relapsing orbital myositis. Clin Exp Dermatol. 2001;26:274–5.

    Article  CAS  PubMed  Google Scholar 

  8. Grimson BS, Simons KB. Orbital inflammation, myositis, and systemic lupus erythematosus. Arch Ophthalmol. 1983;101:736–8.

    CAS  PubMed  Google Scholar 

  9. Masi AT, Hunder GG, Lie JT, Michel BA, Bloch DA, Arend WP, et al. The American College of Rheumatology 1990 criteria for the classification of Churg–Strauss syndrome (allergic granulomatosis and angiitis). Arthritis Rheum. 1990;33(8):1094–100.

    CAS  PubMed  Google Scholar 

  10. Sable-Fourtassou R, Cohen P, Mahr A, Pagnoux C, Mouthon L, Jayne D, et al. Antineutrophil cytoplasmic antibodies and the Churg–Strauss syndrome. Ann Intern Med. 2005;143(9):632–8.

    PubMed  Google Scholar 

  11. Sinico RA, Di Toma L, Maggiore U, Bottero P, Radice A, Tosoni C, et al. Prevalence and clinical significance of antineutrophil cytoplasmic antibodies in Churg–Strauss syndrome. Arthritis Rheum. 2005;52(9):2926–35.

    Article  CAS  PubMed  Google Scholar 

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Conflict of interest statement

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Authors and Affiliations

  1. Department of Rheumatology, Kameda Medical Center, 929 Higashi-cho, Kamogawa, Chiba, 296-8602, Japan

    Tomoko Fujii, Masataro Norizuki, Tatsuo Kobayashi & Makiko Yamamoto

  2. Section of Allergy and Rheumatology, St. Luke’s International Hospital, 9-1, Akashi-cho, Chuo-ku, Tokyo, 104-8560, Japan

    Mitsumasa Kishimoto

Authors
  1. Tomoko Fujii
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  2. Masataro Norizuki
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  3. Tatsuo Kobayashi
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  4. Makiko Yamamoto
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  5. Mitsumasa Kishimoto
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Corresponding author

Correspondence to Tomoko Fujii.

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Fujii, T., Norizuki, M., Kobayashi, T. et al. A case of eosinophilic orbital myositis associated with CSS. Mod Rheumatol 20, 196–199 (2010). https://doi.org/10.1007/s10165-009-0252-3

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  • DOI: https://doi.org/10.1007/s10165-009-0252-3

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