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[Intramuscular vascular malformations as a differential diagnosis of focal myositis].
[focal myositis]
Focal
myositis
constitutes
an
original
and
rare
pathological
entity
,
characterized
by
a
localized
inflammation
within
skeletal
muscle
,
presenting
as
a
soft
tissue
painful
tumefaction
.
Diagnosis
requires
histological
confirmation
because
of
its
non-
specific
clinical
feature
and
the
numerous
differential
diagnoses
.
We
report
a
27
year
-old
man
who
presented
with
suggestive
symptoms
of
focal
myositis
.
MR
imaging
and
echography
were
compatible
with
this
diagnosis
but
also
demonstrated
the
existence
of
a
vascular
component
within
the
tumefaction
.
The
diagnosis
of
a
benign
vascular
malformation
with
intramuscular
development
was
made
by
a
surgically
guided
biopsy
.
Vascular
malformations
are
histologically
heterogeneous
with
extremely
variable
clinical
expressions
.
When
they
develop
within
skeletal
muscle
,
they
may
mimic
focal
myositis
.
Hence
,
their
diagnosis
has
to
be
evoked
before
performing
muscle
biopsy
,
because
of
the
potential
hemorrhagic
risk
.
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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