Cerebral Infarction and Myalgia in a 75-year-old Man with Eosinophilic Granulomatosis with Polyangiitis
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- Ueta Yuki
- Department of Neurology, Tokyo Medical University Hachioji Medical Center, Japan
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- Akiba Yuki
- Department of Neurology, Tokyo Medical University Hachioji Medical Center, Japan
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- Yamazaki Jun
- Department of Neurology, Tokyo Medical University Hachioji Medical Center, Japan
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- Okubo Yoshihiko
- Department of Neurology, Tokyo Medical University, Japan
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- Taguchi Takeshi
- Department of Neurology, Tokyo Medical University Hachioji Medical Center, Japan
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- Terashi Hiroo
- Department of Neurology, Tokyo Medical University, Japan
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- K. Hayashi Yukiko
- Department of Pathophysiology, Tokyo Medical University, Japan
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- Aizawa Hitoshi
- Department of Neurology, Tokyo Medical University, Japan
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Abstract
<p>Eosinophilic granulomatosis with polyangiitis (EGPA) is a rare condition of systemic vasculitis of small to medium-sized blood vessels. We herein report the case of a 75-year-old man who presented with hemiplegia on his right side due to cerebral infarction following myalgia and a high fever. He had no history of asthma or allergic rhinitis. He was diagnosed with EGPA based on the presence of eosinophilia, sinusitis suggested by magnetic resonance imaging, and muscle pathology. His hemiplegia improved rapidly after corticosteroid therapy. This case suggests that EGPA should be a differential diagnosis of cerebral infarction with myalgia and eosinophilia. </p>
Journal
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- Internal Medicine
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Internal Medicine 59 (23), 3089-3092, 2020-12-01
The Japanese Society of Internal Medicine
