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Camptocormia in Parkinson's disease mimicked by focal myositis of the paraspinal muscles.
[focal myositis]
We
report
on
a
63
-
year
-old
man
with
idiopathic
Parkinson
's
disease
who
developed
kyphosis
and
a
severe
forward
flexion
of
the
thoracolumbar
spine
.
A
typical
feature
was
an
increase
during
walking
or
standing
and
it
completely
disappeared
in
the
supine
position
,
mimicking
the
clinical
phenomenon
of
camptocormia
(
bent
spine
)
.
In
addition
to
the
abnormal
posture
,
a
weakness
of
the
erector
spinal
muscles
,
local
pain
,
reddening
,
and
elevated
temperature
of
the
paraspinal
muscles
were
evident
.
Creatine
kinase
was
initially
elevated
,
electromyography
showed
spontaneous
activity
and
a
myopathic
pattern
.
Magnetic
resonance
imaging
and
bioptic
examinations
revealed
a
focal
myositis
of
the
paraspinal
muscles
.
This
case
indicates
that
camptocormia
can
be
mimicked
by
focal
myositis
of
paraspinal
muscles
and
must
be
included
in
the
differential
diagnosis
,
especially
when
additional
symptoms
as
inflammatory
signs
or
weakness
are
present
.
Diseases
Validation
Diseases presenting
"pain"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
aniridia
aromatase deficiency
carcinoma of the gallbladder
cholangiocarcinoma
coats disease
congenital diaphragmatic hernia
congenital toxoplasmosis
cushing syndrome
cutaneous mastocytosis
cystinuria
dedifferentiated liposarcoma
dentin dysplasia
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial mediterranean fever
focal myositis
hirschsprung disease
hodgkin lymphoma, classical
holt-oram syndrome
junctional epidermolysis bullosa
kabuki syndrome
kindler syndrome
lamellar ichthyosis
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
malignant atrophic papulosis
neuralgic amyotrophy
oligodontia
oral submucous fibrosis
papillon-lefèvre syndrome
phenylketonuria
pleomorphic liposarcoma
primary hyperoxaluria type 1
proteus syndrome
pyomyositis
scrub typhus
sneddon syndrome
systemic capillary leak syndrome
thoracic outlet syndrome
trochlear dysplasia
typhoid
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
wolf-hirschhorn syndrome
This symptom has already been validated