Neurosonology:神経超音波医学
Print ISSN : 0917-074X
ISSN-L : 0917-074X
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筋超音波所見を契機として確定診断できたサルコイドーシスの1例
高松 直子寺澤 由佳酒井 和香宮本 亮介宮城 愛島谷 佳光佐藤 健太松井 尚子和泉 唯信梶 龍兒
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2012 年 25 巻 1 号 p. 13-16

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A case in which the presence of nodules on muscle ultrasonography led to the diagnosis of muscular sarcoidosis is described. A 58-year-old woman was admitted to our hospital with blepharoptosis and diplopia, as well as gradually progressive leg pain. Muscle ultrasonography showed 2- to 3-mm-diameter, cystic nodules in the right tibialis anterior muscle. In the same muscle, myogenic changes were seen on needle electromyography. A muscle biopsy of the region where the nodules were detected was performed. The biopsy specimen showed noncaseating granulomas, and sarcoidosis was diagnosed. Ultrasonography is useful to identify regions to biopsy in patients with muscular sarcoidosis.

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© 日本脳神経超音波学会 2012
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