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Rheumatology 2000; 39: 211-213
© 2000 British Society for Rheumatology

Letters to the Editor

Idiopathic focal myositis in pregnancy

A. Hepburn3, N. Damani1, A. Sandison2 and N. Pandit

1 Department of Rheumatology, Department of Radiology, Watford General Hospital, Watford, Hertfordshire WD1 8HB and
2 Department of Histopathology, Royal National Orthopaedic Hospital, Stanmore, Middlesex HA7 4LP, UK

Sir, Focal myositis is a rare, benign inflammatory disorder of skeletal muscle, the cause of which is unknown [1]. It usually affects limb musculature, although rarely muscles of the head and neck [2] and spine [3] can be involved. The differential diagnosis is wide and includes more sinister lesions such as pyomyositis and soft tissue tumours. Early histological diagnosis is therefore essential. The development of the more common generalized inflammatory myopathies, polymyositis and dermatomyositis, has been reported in pregnancy [4]. The subsequent clinical course in these disorders is variable. We report a case of idiopathic focal myositis affecting the abductors of the thigh developing acutely . . . [Full Text of this Article]

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