Granulomatous Mastitis Complicated by Arthralgia and Erythema Nodosum Successfully Treated with Prednisolone and Methotrexate
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- Nakamura Tomoyuki
- Department of Internal Medicine, Osaka City General Hospital, Japan
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- Yoshioka Katsunobu
- Department of Internal Medicine, Osaka City Sumiyoshi Hospital, Japan
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- Miyashita Tomoko
- Department of Internal Medicine, Osaka City General Hospital, Japan
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- Ikeda Katsumi
- Department of Breast Surgical Oncology, Osaka City General Hospital, Japan
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- Ogawa Yoshinari
- Department of Breast Surgical Oncology, Osaka City General Hospital, Japan
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- Inoue Takeshi
- Department of Pathology, Osaka City General Hospital, Japan
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- Yamagami Keiko
- Department of Internal Medicine, Osaka City General Hospital, Japan
書誌事項
- 公開日
- 2012
- 資源種別
- journal article
- DOI
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- 10.2169/internalmedicine.51.7846
- 公開者
- 一般社団法人 日本内科学会
この論文をさがす
説明
A 23-year-old woman was admitted with complaints of swelling and pain in the left breast, fever, polyarthralgia and erythema nodosum. A fine-needle biopsy of the mass in the left breast revealed non-caseous granulomatous lobulitis. A diagnosis of granulomatous mastitis was thus made. The administration of prednisolone 40 mg/day resulted in the resolution of the patient's symptoms, and the breast mass thereafter decreased in size. The mass relapsed during the subsequent prednisolone taper. Additional therapy with methotrexate resulted in complete remission. Granulomatous mastitis should therefore be included in the differential diagnosis of polyarthralgia.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 51 (20), 2957-2960, 2012
一般社団法人 日本内科学会