Document Detail

Symptomatic macroglossia and tongue myositis in polymyositis: treatment with corticosteroids and intravenous immunoglobulin.
MedLine Citation:
PMID:  12384936     Owner:  NLM     Status:  MEDLINE    
Symptomatic macroglossia occurs in some rare congenital muscle diseases, such as Becker's and Duchenne's dystrophies or Pompe's disease. Herein we describe a case of symptomatic macroglossia with myositis of the tongue occurring in a patient with polymyositis. Tongue myositis was evidenced by dysarthria, frequent biting during mastication, swallowing difficulties without aspiration, and noisy breathing. Magnetic resonance imaging showed homogeneous hypertrophy of the tongue, especially the mouth's floor muscles. The diagnosis of tongue myositis was established by electromyography and biopsy. No other cause for the macroglossia was found. Symptoms resolved quickly with corticosteroid and intravenous immunoglobulin treatment. To our knowledge, this is the first reported case of symptomatic tongue myositis occurring in the course of polymyositis.
E Chauvet; L Sailler; M Carreiro; J R Paoli; P Arrue; L Astudillo; F Oksmann; M B Delisle; Ph Arlet
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Arthritis and rheumatism     Volume:  46     ISSN:  0004-3591     ISO Abbreviation:  Arthritis Rheum.     Publication Date:  2002 Oct 
Date Detail:
Created Date:  2002-10-17     Completed Date:  2002-11-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370605     Medline TA:  Arthritis Rheum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2762-4     Citation Subset:  AIM; IM    
Service de Médecine Interne, Centre Hospitalier Universitaire Rangueil-Larrey, 24 Chemin de Pouvourville, 31403 Toulouse Cedex, France.
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MeSH Terms
Macroglossia / etiology,  pathology*,  therapy
Magnetic Resonance Imaging
Middle Aged
Polymyositis / complications,  pathology*,  therapy
Tongue / pathology*

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