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Case Report

A Unique Case of Hemi-Tongue Pseudohypertrophy, Necrotizing Myopathy, and Erythema Nodosum

by
Kota Sato
*,
Yoshiaki Takahashi
,
Toru Yamashita
,
Mami Takemoto
,
Nozomi Hishikawa
,
Shang Jinwei
,
Yasuyuki Ohta
and
Koji Abe
Department of Neurology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Japan
*
Author to whom correspondence should be addressed.
Neurol. Int. 2018, 10(4), 7852; https://doi.org/10.4081/ni.2018.7852
Submission received: 27 August 2018 / Revised: 27 August 2018 / Accepted: 31 August 2018 / Published: 5 December 2018

Abstract

A 46-year-old woman developed slowly progressive tongue weakness with a pseudohypertrophic change on the right side of her tongue. She subsequently developed weakness in her proximal lower extremities, skin erythema and a sustained increase of muscle enzymes at 11 M after the onset. A biopsy of the quadriceps muscle showed necrotizing myopathy and a skin biopsy showed erythema nodosum. The present case showed characteristic clinical manifestations that may represent a rare variant of sarcoidosis.
Keywords: tongue pseudohypertrophy, hypoglossal nerve palsy, necrotizing myopathy, erythema nodosum, sarcoidosis tongue pseudohypertrophy, hypoglossal nerve palsy, necrotizing myopathy, erythema nodosum, sarcoidosis

Share and Cite

MDPI and ACS Style

Sato, K.; Takahashi, Y.; Yamashita, T.; Takemoto, M.; Hishikawa, N.; Jinwei, S.; Ohta, Y.; Abe, K. A Unique Case of Hemi-Tongue Pseudohypertrophy, Necrotizing Myopathy, and Erythema Nodosum. Neurol. Int. 2018, 10, 7852. https://doi.org/10.4081/ni.2018.7852

AMA Style

Sato K, Takahashi Y, Yamashita T, Takemoto M, Hishikawa N, Jinwei S, Ohta Y, Abe K. A Unique Case of Hemi-Tongue Pseudohypertrophy, Necrotizing Myopathy, and Erythema Nodosum. Neurology International. 2018; 10(4):7852. https://doi.org/10.4081/ni.2018.7852

Chicago/Turabian Style

Sato, Kota, Yoshiaki Takahashi, Toru Yamashita, Mami Takemoto, Nozomi Hishikawa, Shang Jinwei, Yasuyuki Ohta, and Koji Abe. 2018. "A Unique Case of Hemi-Tongue Pseudohypertrophy, Necrotizing Myopathy, and Erythema Nodosum" Neurology International 10, no. 4: 7852. https://doi.org/10.4081/ni.2018.7852

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