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Rheumatology 2002; 41: 1318-1322
© 2002 British Society for Rheumatology

Grand rounds in rheumatology

Recurrent focal myositis of the peroneal muscles

K. Kisielinski, O. Miltner, B. Sellhaus1, S. Krüger2, H. Goost and C. H. Siebert

Department of Orthopaedic Surgery,
1 Department of Neuropathology and
2 Medical Clinic I, University Hospital Aachen, Aachen, Germany

Abstract

Recurrent focal myositis is a rare entity and can be difficult to diagnose and treat. A long-term follow-up and diagnostic evaluation was carried out in a patient who presented with ankle stiffness secondary to a painful mass within the calf. This process was diagnosed as focal myositis of the peroneal muscles, which recurred over a period of 7 yr. A review of the literature regarding focal myositis, treatment options and a successful conservative therapy regimen, as an alternative to a surgical protocol, are presented. After making the diagnosis with the help of a muscle biopsy, long-term therapy should be considered. Conservative treatment of focal myositis with anti-inflammatory drugs and physical therapy can be successful but recurrence may occur if the medical treatment is interrupted.

KEY WORDS: Focal myositis, Muscle disease, Review, Therapy.

Notes

Correspondence to: O. Miltner, Department of Orthopaedic Surgery, University Hospital Aachen, Pauwelsstrasse 30, D-52057 Aachen, Germany.


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