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Case Reports
. 1992 Sep 7;157(5):318-20.

Acute gastrocnemius myositis. Another extraintestinal manifestation of Crohn's disease

E M Drabble  1 , J S Gani
Affiliations
  • PMID: 1435473
Case Reports

Acute gastrocnemius myositis. Another extraintestinal manifestation of Crohn's disease

E M Drabble et al. Med J Aust. .

Abstract

Objective: To present the first case in Australia of skeletal muscle inflammation as a manifestation of Crohn's disease.

Clinical features: A 50-year-old man was admitted to hospital with a two-week history of bloody diarrhoea, weight loss of 3 kg, soreness of his calf and thigh muscles, and night sweats. A clinical diagnosis of acute Crohn's gastrocnemius myositis was made. Muscle biopsy was not performed.

Intervention and outcome: He was prescribed hydrocortisone by the intravenous route, which was replaced by prednisone by mouth. The myositis resolved completely within 48 hours.

Conclusion: Corticosteroids are an effective treatment for this rare extraintestinal manifestation of Crohn's disease. Invasive investigations can be reserved for those who fail to respond.

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