Myositis of small foot muscles.
Idiopathic focal myositis is a rare clinical entity and is mostly localized in the neck and thigh muscles presenting as a pseudotumor. We describe a 49-year-old patient with inflammation restricted to the small muscles of one forefoot. Systemic disease was not present and progression to polymyositis did not occur within 2 years of follow-up. The myositis improved promptly after initiation of immunosuppressive therapy with corticosteroids and azathioprine. This unusual location of focal myositis has not been previously reported.
Department of Medicine, University Hospital Mainz, Germany. kalden@radiologie.klinik.uni-mainz.de
P
P
Kalden
T
T
Krause
B
B
Volk
H H
HH
Peter
J
J
von Kempis
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D018501:Antirheumatic Agents / Q000627:therapeutic use; D001379:Azathioprine / Q000627:therapeutic use; D001706:Biopsy; D005260:Female; D005534:Foot Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D006801:Humans; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000000981:diagnostic imaging / Q000473:pathology; D009220:Myositis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D016698:Technetium Tc 99m Pyrophosphate
D000305:Adrenal Cortex Hormones; D018501:Antirheumatic Agents; D019275:Radiopharmaceuticals; D016698:Technetium Tc 99m Pyrophosphate; D001379:Azathioprine