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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
"common mechanism"
symptom
canavan disease
familial hypocalciuric hypercalcemia
focal myositis
gm1 gangliosidosis
waldenström macroglobulinemia
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