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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
"rare pathological entity"
symptom
cowden syndrome
focal myositis
well-differentiated liposarcoma
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