ArticleFrontiers in pediatrics2025
Recurrent calf myositis as revealing manifestation of Crohn disease: a case report.
Article in Frontiers in pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Crohn's disease (CD) is a chronic inflammatory bowel disease (IBD) that may present in children with extraintestinal manifestations (EIM). Inflammatory myopathies are rarely described in this context. Herein we describe the case of a teenager with recurrent episodes of calf myositis, also known as "Gastrocnemius Myalgia Syndrome" (GMS), as the only manifestation of CD in a pre-clinical phase. A 15-year-old girl presented three episodes of acute bilateral calf myositis with inability to walk over a period of three years. Each episode was preceded by febrile upper respiratory tract infections, with levels of IgG for Sars-Cov2 compatible with a recent infection. Clinical and laboratory tests showed an acute inflammatory state which, in the first two episodes, spontaneously improved in about 20 days. During the third episode, a whole-body PET-MRI detected hypermetabolism, associated with muscle edema of the posterior compartment of the legs and thickening of the terminal ileum with significant tracer uptake. Intestinal and muscle biopsies confirmed the diagnosis of CD and focal myositis. The patient was treated with corticosteroids and azathioprine with rapid resolution of pain, fever and intestinal inflammation. Our case clearly shows that GMS should be considered among the EIM of pediatric CD and can precede IBD onset by years. Therefore, CD should be ruled out in all pediatric patients presenting with predominant, recurrent calf myositis.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.