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All-trans retinoic acid-induced focal myositis, synovitis, and mononeuritis.
[focal myositis]
All-trans
retinoic
acid
has
revolutionized
the
treatment
of
acute
promyelocytic
leukemia
,
but
this
therapy
is
often
complicated
by
the
all-trans
retinoic
acid
syndrome
.
Here
we
report
a
patient
with
newly
diagnosed
acute
promyelocytic
leukemia
who
developed
acute
focal
myositis
,
synovitis
,
and
possible
vasculitis
,
after
receiving
all-trans
retinoic
acid
therapy
.
We
review
the
existing
literature
on
this
rare
clinical
entity
,
all-trans
retinoic
acid-induced
myositis
.
This
condition
can
manifest
as
fever
,
myalgia
,
arthralgia
,
and
Sweet
syndrome
,
accompanied
by
distinct
magnetic
resonance
findings
involving
the
lower
extremity
musculature
.
Treatment
consists
of
discontinuation
of
the
offending
drug
and
often
high
dose
corticosteroids
.
Diseases
Validation
Diseases presenting
"newly diagnosed acute promyelocytic leukemia"
symptom
focal myositis
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