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© 1994 British Society for Rheumatology

case-report

LOCAL MUSCLE HYPERTROPHY DUE TO AN ARTERIO-VENOUS MALFORMATION

J. W. G. JACOBS*, E. N. GRIEP{ddagger}, W. F. LEMS*, T. D. WITKAMP{dagger} and J. WEBER§

*Departments of Rheumatology, University Hospital Utrecht Amhem, The Netherlands
{ddagger}Departments of Rheumatology, ‘Medisch Centrum’ Leeuwarden
{dagger}Department of Radiology, University Hospital Utrecht Amhem, The Netherlands
§Departments of Rheumatology, ‘Rijnstate’ Hospital Amhem, The Netherlands

Correspondence to: J. W. G. Jacobs, University Hopital Utrecht, P.O. Box 85500, 3508 GA Utrecht, the Netherlands.

A 20-yr-old man with progressive, painful diffuse swelling of his right shoulder muscles is reported. The diagnosis was muscle hypertrophy secondary to a congenital arterio-venous malformation (CAVM). Since a CAVM is not infrequently asymptomatic until the age of 20 to 30 yr and develops insidiously, the diagnosis may be delayed. In our patient, MRI rather than ultrasound and CT, led to the final diagnosis.

KEY WORDS: Arterio-venous malformation, Muscle hypertrophy, Magnetic resonance imaging


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