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©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 6, 2022; 10(13): 4137-4144
Published online May 6, 2022. doi: 10.12998/wjcc.v10.i13.4137
Published online May 6, 2022. doi: 10.12998/wjcc.v10.i13.4137
Large vessel vasculitis with rare presentation of acute rhabdomyolysis: A case report and review of literature
Lan-Jun Fu, Shou-Ci Hu, Wen Zhang, Li-Qing Ye, Hong-Bo Chen, Xiao-Jun Xiang, Department of Nephrology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Traditional Chinese Medicine), Hangzhou 310006, Zhejiang Province, China
Author contributions: Fu LJ, Zhang W, and Chen HB reviewed the literature; Fu LJ drafted the manuscript; Hu SC performed the analysis and interpretation of data; Zhang W helped design the figures; Ye LQ helped with acquisition of data; Hong-Bo Chen HB helped with the manuscript revision; Xiang XJ helped with the conception and design of the study; all authors granted approval for the final submitted version.
Supported by Medical Health Science and Technology Project of Zhejiang Provincial Health Commission , No. 2021KY833 ; and Traditional Chinese Medical Science and Technology Project of Zhejiang Province , No. 2021ZB110 .
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiao-Jun Xiang, MBBS, Associate Chief Physician, Department of Nephrology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Traditional Chinese Medicine), No. 54 Youdian Road, Hangzhou 310006, Zhejiang Province, China. 309454905@qq.com
Received: June 9, 2021
Peer-review started: June 9, 2021
First decision: September 1, 2021
Revised: September 12, 2021
Accepted: March 16, 2022
Article in press: March 16, 2022
Published online: May 6, 2022
Processing time: 324 Days and 14.1 Hours
Peer-review started: June 9, 2021
First decision: September 1, 2021
Revised: September 12, 2021
Accepted: March 16, 2022
Article in press: March 16, 2022
Published online: May 6, 2022
Processing time: 324 Days and 14.1 Hours
Core Tip
Core Tip: Musculoskeletal involvement in large vessel vasculitis (LVV) usually manifests as polyarthralgia and myalgias but without elevated creatine kinase (CK) levels. Herein, we report a rare case of LVV with the first presentation of acute rhabdomyolysis. With the use of magnetic resonance angiography and 18F-fluorodeoxyglucose-positron emission tomography/computed tomography, LVV was properly diagnosed. Ultimately, the patient achieved a favourable outcome after timely and persistent use of glucocorticoids. We present a case to supply clues for unusual diagnoses of LVV for febrile patients with myalgia and elevated CK.