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Case Reports
. 2022 Jul 27;6(2):rkac059.
doi: 10.1093/rap/rkac059. eCollection 2022.

Generalized severe myalgia and oedema: a case of fasciitis associated with mixed connective tissue disease

Kentaro Noda  1 , Takashi Shimoyama  1 , Haruyasu Ito  1 , Ken Yoshida  1 , Daitaro Kurosaka  1
Affiliations
Case Reports

Generalized severe myalgia and oedema: a case of fasciitis associated with mixed connective tissue disease

Kentaro Noda et al. Rheumatol Adv Pract. .
No abstract available

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Figures

<sc>Fig</sc>. 1
Fig. 1
MRI and histopathological findings (A) A gadolinium-enhanced fat-suppressed T1-wedged MRI of the thigh shows that the fascia of the gracilis and hamstring muscles is enhanced with high signal intensity (white arrowheads). (B, C) Short inversion time recovery image of the bilateral upper arms (B: right upper arm; C: left upper arm) shows areas of high signal intensity in the fascia of biceps and triceps brachii muscles (white arrowheads). (D) Haematoxylin- and Eosin-stained left triceps branchii muscle tissues show mild-to-moderate mononuclear cell infiltration around small vessels in the connective tissue between the deep fascia and muscles (yellow arrows). (E) Muscle fibres were almost intact in the same section as panel D (original magnification ×100 in panels D and E). (F) Substance P-immunoreactive fibres (brown; yellow arrowheads) were innervated around small vessels in subcutaneous tissues adjacent to the deep fascia. (G) A few substance P-immunoreactive fibres (yellow arrowheads) were present around small arteries in connective tissue between the fasciculus in the same section as panel F (original magnification ×200 in panels F and G).
See this image and copyright information in PMC

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References

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