Rheumatology 2002; 41: 1074-1076
© 2002 British Society for Rheumatology
Letters to the Editor |
Bilateral recurrent focal myositis of gastrocnemius muscles after BCG vaccination
Institute of Rheumatology and
Institute of Neurologic Sciences, University of Siena, 53100 Siena, Italy
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SIR, Focal myositis (FM) is a rare, benign, self-limiting inflammation of the skeletal muscle, of unknown aetiology, initially described by Heffner et al. [1] in 1977. It is typically characterized by a localized, painful swelling of the soft tissues without a systemic involvement, frequently mimicking a sarcoma or thrombophlebitic disease [2]. Infectious aetiology, traumatic or ischaemic events have been suggested to explain the focal nature of the muscle injury in predisposed subjects. The muscle MRI and muscle serum enzyme evaluation are useful tools for diagnosis, which must be confirmed by muscle biopsy
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