Granulomatous Mastitis Complicated by Arthralgia and Erythema Nodosum Successfully Treated with Prednisolone and Methotrexate
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概要
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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.
著者
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Yamagami Keiko
Department Of Endocrinology And Metabolism Osaka City General Hospital
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Yoshioka Katsunobu
Department Of Endocrinology And Metabolism Osaka City General Hospital
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Nakamura Tomoyuki
Department Of Applied Chemistry Fuculty Of Engineering Naogya University
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Miyashita Tomoko
Department Of Forensic Medicine Wakayama Medical University
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Inoue Takeshi
Department Of Animal Husbandry Faculty Of Agriculture Tohoku University
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Ogawa Yoshinari
Department Of Breast Surgical Oncology Osaka City General Hospital
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Ikeda Katsumi
Department Of Breast Surgical Oncology Osaka City General Hospital
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Yoshioka Katsunobu
Department of Internal Medicine, Osaka City Sumiyoshi Hospital, Japan
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Ikeda Katsumi
Department of Breast Surgical Oncology, Osaka City General Hospital, Japan
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