Focal myositis

Kocanaogullari, H.; Özdemir, Elif; Keser, Gökçen; Tuncbay, Türe O.; Gumusdis, G; Doğanavşargil, Eker

doi:10.1007/bf01450962

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…Inwieweit jedoch eine Exzision vorausgegangen ist, kann aus diesen Arbeiten nicht exakt ersehen werden. Als Erklärung für Rezidive diskutiert man das initial als fokale Myositis fehlgedeutete frühe Stadium der lokalisierten Form der Polymyositis [3,5,9,11,12]. Über spontane Heilungen der fokalen Myositis wird nur selten berichtet [4,5].…”

Section: Diskussionunclassified

Die fokale Myositis – eine chirurgische Indikation?

Möckl

Kotter

Mayr

et al. 2002

Chirurg

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This case report describes focal myositis, a rare inflammatory pseudotumorous disease previously not mentioned in the surgical literature. Most often a single muscle of the upper or lower extremity is affected. Usually the diagnostic process and treatment require a long time. We present a useful diagnostic cascade and a surgical therapy, which allows the histological differentiation between malignant and inflammatory disease. Even after partial resection of the tumor, the prognosis of focal myositis is excellent.

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Section: Diskussionunclassified

Die fokale Myositis – eine chirurgische Indikation?

Möckl

Kotter

Mayr

et al. 2002

Chirurg

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“…The diagnosis of focal myositis is difficult and it is commonly mistaken for tissue of vascular, inflammatory, or neoplastic origin [ 5 ]. The most common misdiagnosis is of soft- tissue sarcoma [ 6 ]. TraditionallyConventionally, the diagnosis was confirmed by muscle biopsy [ 5 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Focal Myositis of the Deltoid Muscle: The Role of Magnetic Resonance Imaging for Diagnosis

Ricks¹,

Ramsingh²,

Cole³

et al. 2021

JOCR

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Introduction:Focal myositis is a rare condition first described by Heffner et al., in 1977, as a self-limiting condition of unknown aetiology. It presents as an inflammatory pseudo tumour in skeletal muscle and can present diagnostic difficulty, being commonly mistaken for tissue of vascular, inflammatory, or neoplastic origin. Diagnosis is traditionally confirmed by muscle biopsy. We present a case where magnetic resonance imaging (MRI) was used to confirm the diagnosis without need for biopsy. Case Presentation: A 19-year year-old female presented with a two2-year history of intermittent swelling of the deltoid associated with pain and tenderness to palpation. . There was no history of trauma or systemic illness. . She was symptomatic with pain, swelling, and tenderness over the left deltoid with no restriction in range of movement of the shoulder or neck. Plain radiographs were normal and MRI magnetic resonance imaging showed diffuse odeamatousedematous signal changes on the proton density weighted sequence within the deltoid muscle and no plexiform neurofibroma. Nerve conduction and electromyography studies were within normal limits excluding an axillary nerve lesion. The patient underwent extensive screening for connective tissue disorders and creatine kinase and lactate dehydrogenase levels were within limits. The patient underwent neuromuscular specialist review confirming that this appeared to be a rare case of focal myositis in the deltoid. . The serial MRI scans confirmed resolution of the condition. Conclusion: Focal myositis of the deltoid is a rare cause of shoulder pain. . We have shown that sequential MRI scanning can obviate the need for muscle biopsy, which has historically been required for diagnostic confirmation. The MRI appearance on the proton density weighted sequence showed diffuse odeamatousedematous signal changes and no plexiform neurofibroma within the deltoid and is a description that has not been previously used for this rare diagnosi

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