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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
"fever"
symptom
22q11.2 deletion syndrome
acute rheumatic fever
alexander disease
allergic bronchopulmonary aspergillosis
canavan disease
carcinoma of the gallbladder
child syndrome
congenital toxoplasmosis
cushing syndrome
cystinuria
dracunculiasis
erdheim-chester disease
esophageal adenocarcinoma
esophageal carcinoma
familial mediterranean fever
focal myositis
hodgkin lymphoma, classical
lamellar ichthyosis
legionellosis
locked-in syndrome
malignant atrophic papulosis
neonatal adrenoleukodystrophy
neuralgic amyotrophy
oculocutaneous albinism
papillon-lefèvre syndrome
pyomyositis
pyruvate dehydrogenase deficiency
scrub typhus
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
triple a syndrome
typhoid
waldenström macroglobulinemia
wolf-hirschhorn syndrome
This symptom has already been validated