title: Acute exacerbation of previously undiagnosed chronic focal myositis in an Aboriginal patient on maintenance haemodialysis.
abstract: We describe a haemodialysis patient who presented with an exacerbation of previously undiagnosed chronic focal myositis during a hospital admission for missed dialysis and chronic foot osteomyelitis. The association of focal myositis with haemodialysis has been reported once previously, but we report the third case in our experience and argue that it is probably more common than previously appreciated. We consider a focused differential diagnosis for a diabetic dialysis patient with leg pain and discuss important features of this rare condition.
authors.affiliation: Division of Medical Sciences, University of Oxford, John Radcliffe Hospital, Oxford, UK Department of Nephrology, Royal Darwin Hospital, Darwin, Northern Territory, Australia.
authors.forename: Benjamin James
authors.initials: BJ
authors.lastname: Stewart
authors.affiliation: Department of Nephrology, Royal Darwin Hospital, Darwin, Northern Territory, Australia.
authors.forename: Sandawana William
authors.initials: SW
authors.lastname: Majoni
mesh_terms: D000208:Acute Disease; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001706:Biopsy / Q000379:methods; D002908:Chronic Disease; D003937:Diagnosis, Differential; D005260:Female; D006615:Hip / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D008875:Middle Aged; D009220:Myositis / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000209:etiology*; D010146:Pain / Q000188:drug therapy / Q000209:etiology; D011239:Prednisolone / Q000627:therapeutic use; D006435:Renal Dialysis / Q000009:adverse effects*; D014463:Ultrasonography
chemical_list: D000893:Anti-Inflammatory Agents; D011239:Prednisolone