Neutrophilic myositis as a manifestation of celiac disease: a case report.
A 42-year-old white man presented with recurrent attacks of muscle pain and swelling. Clinically, he looked like he had severe pyogenic infection. He failed to respond to multiple courses of wide-spectrum antibiotics. Repeated cultures from muscle lesions and from the blood were negative. Hospital course was very hectic and life threatening at times. Upon further questioning, the patient gave a history of frequent loose-bowel movements for many years. A duodenal biopsy with villous blunting and positive antiglidin antibodies confirmed the diagnosis of celiac disease. The patient had complete recovery and remained in remission on a gluten-free diet.
Alawneh
Khaldoon
K
Department of Medicine, Jordan University of Science and Technology, PO Box 2257, Irbid, 21110, Jordan. kma1234@msn.com
Ashley
Christopher
C
Carlson
John Andrew
JA
D000328:Adult; D018501:Antirheumatic Agents / Q000008:administration & dosage; D002446:Celiac Disease / Q000150:complications / Q000175:diagnosis / Q000178:diet therapy; D055050:Diet, Gluten-Free; D006801:Humans; D007262:Infusions, Intravenous; D007964:Leukocytosis / Q000188:drug therapy; D008297:Male; D008775:Methylprednisolone / Q000008:administration & dosage; D009220:Myositis / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology*; D009504:Neutrophils / Q000473:pathology*
D018501:Antirheumatic Agents; D008775:Methylprednisolone