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The British Journal of Rheumatology, Vol 36, 276-279, Copyright © 1997 by British Society for Rheumatology

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Idiopathic eosinophilic myositis associated with vasculitis and symmetrical polyneuropathy

A Espino-Montoro, M Medina, J Marin-Martin, FJ Jimenez-Gonzalo, AK Moalla, G Fernandez-Gonzalez and R Vahi
Department of Internal Medicine, De la Merced University Hospital, Osuna (Seville), Spain.

We present a 79-yr-old white woman admitted to the hospital with diffuse myalgias and muscle weakness associated with eosinophilia. Examination of a muscle biopsy section revealed eosinophilic myositis with vasculitis. This association is infrequent and we describe the first case report with symmetrical polyneuropathy. The treatment with prednisone (60 mg/day) led to a complete clinical-pathological recovery of the disease. We review the differential diagnosis and the aetiopathogenic mechanism.
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