妊娠期肉芽肿性乳腺炎伴突然出现步态困难和结节性红斑：病例报告及文献综述。
Granulomatous mastitis during pregnancy with sudden onset of gait difficulty and erythema nodosum: A case report and review of the literature.
发表日期：2024 Aug 26
作者：
Hideyuki Miyahara, Yusuke Kurokawa, Megumi Muto, Yuko Takao, Erina Iwanaga, Yutaro Mihara, Nao Fukushima, Toshiyuki Yoshizato, Naotake Tsuda
来源：
Arthritis & Rheumatology
摘要：
肉芽肿性乳腺炎 (GM) 是一种乳腺良性炎症性疾病，其表现通常与乳腺癌相似。我们介绍一例妊娠期 GM 病例，表现为乳房肿块、突然出现足底疼痛和结节性红斑 (EN)。一名31岁的日本孕妇，产2月1日，因双脚底足底剧烈疼痛，导致行走困难，被转诊至我院。疼痛加剧，双小腿出现 EN，随后左侧乳房出现肿块。超声检查结果提示恶性肿瘤；然而，抽吸活检证实了 GM。开始口服泼尼松龙后 2 天，她的关节炎和 EN 得到缓解，步行也有所改善。患有/不患有关节炎的 EN 通常与 GM 相关，尤其是在怀孕期间。所描述的乳房肿块表现提示了这一诊断。© 2024 日本妇产科学会。
Granulomatous mastitis (GM), a benign inflammatory disease of the breast, often mimics breast cancer on presentation. We present a case of GM during pregnancy manifesting as a breast mass, sudden onset of plantar pain, and erythema nodosum (EN). A 31-year-old pregnant Japanese woman, gravida 2, para 1, was referred to our hospital with severe plantar pain on both soles, causing difficulty walking. This pain worsened and EN appeared on both lower legs, followed by a left breast mass. Ultrasound findings suggested malignancy; however, aspiration biopsy confirmed GM. Her arthritis and EN resolved 2 days after commencing oral prednisolone and her walking improved. EN with/without arthritis is commonly associated with GM, especially during pregnancy. The described manifestations with a breast mass are suggestive of this diagnosis.© 2024 Japan Society of Obstetrics and Gynecology.