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Focal myositis--neurogenic phenomenon?
[focal myositis]
We
report
four
cases
of
focal
myositis
.
The
patients
,
three
men
and
one
woman
,
had
painful
muscle
hypertrophy
,
affecting
four
different
sites
.
MRI
confirmed
the
muscle
enlargement
and
oedema
.
Electromyography
revealed
evidence
of
acute
and
chronic
denervation
in
all
four
cases
.
Muscle
biopsy
was
available
in
three
and
confirmed
features
suggestive
of
focal
myositis
.
Based
on
our
patient
material
,
we
suggest
that
chronic
nerve
irritation
,
such
as
compression
,
can
lead
to
muscle
hypertrophy
which
,
when
prolonged
,
provokes
fibre
necrosis
and
secondary
inflammation
.
Our
finding
in
four
patients
having
hypertrophy
involving
four
different
sites
,
leads
us
further
to
suggest
that
this
may
be
the
common
mechanism
behind
focal
myositis
.
Diseases
Validation
Diseases presenting
"muscle biopsy"
symptom
cadasil
canavan disease
cohen syndrome
epidermolysis bullosa simplex
familial mediterranean fever
focal myositis
inclusion body myositis
neuralgic amyotrophy
pyomyositis
pyruvate dehydrogenase deficiency
sneddon syndrome
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