Subacute Painful Quadriplegia and Purpura
Authors: A. M. Huisman, M. F. van der Meulen, T. W.M. Raaymakers, M. R. Canninga-van Dijk, J. W.J. Bijlsma, A. Coremans
Journal: Annals of Internal Medicine (2003)

Letters16 December 2003Subacute Painful Quadriplegia and PurpuraA. M. Huisman, MD, PhD, M. F. van der Meulen, MD, PhD, T. W.M. Raaymakers, MD, PhD, M. R. Canninga-van Dijk, MD, PhD, J. W.J. Bijlsma, MD, PhD, and A. Coremans, MDA. M. Huisman, MD, PhDFrom University Medical Center Utrecht, 3508 GA Utrecht, the Netherlands; and Ziekenhuis Bernhoven, 5342 BT Oss, the Netherlands.Search for more papers by this author, M. F. van der Meulen, MD, PhDFrom University Medical Center Utrecht, 3508 GA Utrecht, the Netherlands; and Ziekenhuis Bernhoven, 5342 BT Oss, the Netherlands.Search for more papers by this author, T. W.M. Raaymakers, MD, PhDFrom University Medical Center Utrecht, 3508 GA Utrecht, the Netherlands; and Ziekenhuis Bernhoven, 5342 BT Oss, the Netherlands.Search for more papers by this author, M. R. Canninga-van Dijk, MD, PhDFrom University Medical Center Utrecht, 3508 GA Utrecht, the Netherlands; and Ziekenhuis Bernhoven, 5342 BT Oss, the Netherlands.Search for more papers by this author, J. W.J. Bijlsma, MD, PhDFrom University Medical Center Utrecht, 3508 GA Utrecht, the Netherlands; and Ziekenhuis Bernhoven, 5342 BT Oss, the Netherlands.Search for more papers by this author, and A. Coremans, MDFrom University Medical Center Utrecht, 3508 GA Utrecht, the Netherlands; and Ziekenhuis Bernhoven, 5342 BT Oss, the Netherlands.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-139-12-200312160-w3 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:A 46-year-old woman presented in a regional hospital in the Netherlands with abdominal pain, constipation, and arthralgia of 1 month's duration. Results of physical examination were normal. Laboratory analysis showed an elevated erythrocyte sedimentation rate of 97 mm/h and a C-reactive protein level of 212 mg/L. Levels of liver enzymes and creatinine and results of hematologic blood tests were normal. Urinalysis showed leukocyturia, and urine culture showed no microorganisms. Chest and abdominal radiographs were normal. Esophagogastroduodenoscopy showed duodenitis, and microscopic examination of a biopsy specimen showed chronic Helicobacter pyloriassociated gastritis and nonspecific ulceration of the duodenal mucosa.... References1. Geraghty J, Mackay IR, Smith DC. Intestinal perforation in Wegener's granulomatosis. Gut. 1986;27:450-1. [PMID: 3957113] CrossrefMedlineGoogle Scholar2. Steele C, Bohra S, Broe P, Murray FE. Acute upper gastrointestinal haemorrhage and colitis: an unusual presentation of Wegener's granulomatosis. Eur J Gastroenterol Hepatol. 2001;13:993-5. [PMID: 11507371] CrossrefMedlineGoogle Scholar3. de Groot K, Schmidt DK, Arlt AC, Gross WL, Reinhold-Keller E. Standardized neurologic evaluations of 128 patients with Wegener granulomatosis. Arch Neurol. 2001;58:1215-21. [PMID: 11493161] CrossrefMedlineGoogle Scholar4. McLaren JS, McRorie ER, Luqmani RA. Diagnosis and assessment of systemic vasculitis. Clin Exp Rheumatol. 2002;20:854-62. [PMID: 12508782] MedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From University Medical Center Utrecht, 3508 GA Utrecht, the Netherlands; and Ziekenhuis Bernhoven, 5342 BT Oss, the Netherlands. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 16 December 2003Volume 139, Issue 12Page: W-86KeywordsBiopsyCreatine kinaseElectromyographyHematologic testsMusclesNeuropathyResearch laboratoriesThoraxVasculitisWegener granulomatosis ePublished: 16 December 2003 Issue Published: 16 December 2003 Copyright & PermissionsCopyright © 2003 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...