Recurrent Focal Myositis Presenting as Flexion Contractures of the Fingers

Snell, Broughton J.; Dowd, M. Denise

doi:10.1016/j.jhse.2007.05.018

Cited by 3 publications

(1 citation statement)

References 5 publications

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“…[ 13 ] Gigante et al [ 14 ] also suggested that conservative methods including medications should be the first choice for FM in pediatric age and that surgery should be strictly reserved for selected cases where noninvasive methods have previously failed. Snell and Dowd [ 15 ] reported a case of recurrent FM presenting as flexion contractures of the fingers which had an over 3-year course. They resected the affected tissue and got a short-term, favorable clinical effect.…”

Section: Discussionmentioning

confidence: 99%

Case report

Wang

Jiao²,

Zhao³

et al. 2018

Medicine

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Rationale:Focal myositis (FM) is a very rare myopathy of unknown etiology characterized by focal enlargement within one single skeletal muscle. In particular, it occurs only involving the Sartorius muscle has never been reported.Patient concerns:A 25-year-old man was admitted to the hospital with progressive restricted left hip joint extension, left thigh discomfort and gait disturbance for 6 years.Diagnoses:Combining clinical manifestations with results of radiological and pathological examinations, it was consistent with the diagnosis of FMInterventions:The patient received a surgery under general anesthesia to release the contracted Sartorius tendon.Outcomes:The range of motion of the patient's left hip and ipsilateral knee has significantly improved as well as the discomfort of his left thigh relieved obviously after the surgery.Lessons:This case report is the first to report FM presenting as sartorius muscle contracture and the surgery is an alternative therapy for these patients.

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Section: Discussionmentioning

confidence: 99%

Case report

Wang

Jiao²,

Zhao³

et al. 2018

Medicine

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Recurrent Focal Myositis in Childhood: A Case Report and Systematic Review of the Literature

Milani

Mazzoni

et al. 2017

Pediatric Neurology

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Recurrent Bilateral Focal Myositis

et al. 2016

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This report describes a rare case of recurrent bilateral focal myositis and its successful treatment via methotrexate. A 38-year-old man presented myalgia of the right gastrocnemius in May 2005. Magnetic resonance imaging showed very high signal intensity in the right gastrocnemius on short-tau inversion recovery images. A muscle biopsy revealed inflammatory CD4+ cell-dominant myogenic change. Focal myositis was diagnosed. The first steroid treatment was effective. Tapering of prednisolone, however, repeatedly induced myositis relapse, which progressed to multiple muscle lesions of both lower limbs. Initiation of methotrexate finally allowed successful tapering of prednisolone, with no relapse in the past 4 years.

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Recurrent Focal Myositis Presenting as Flexion Contractures of the Fingers

Cited by 3 publications

References 5 publications

Case report

Case report

Recurrent Focal Myositis in Childhood: A Case Report and Systematic Review of the Literature

Recurrent Bilateral Focal Myositis

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