Unilateral Lower Limb Focal Myositis
Journal Title: The Indian Practitioner - Year 2015, Vol 68, Issue 10
Abstract
Focal myositis is a rare inflammatory myopathy characterised by a localised swelling of skeletal muscle that is usually located in the lower extremities. It can be readily confused with tumours or other inflammatory diseases and around one hundred cases are described in the global literature. Focal myositis presents as a mass localised to a single skeletal muscle that may be painless or tender to the touch and that appears after growing insidiously over several weeks to months. The mass is usually located in the lower extremities and the muscles most commonly affected include the adductor, vastus lateralis and gastrocnemius. It can rarely occur in muscles of the head and neck region. We report a case of a 60 year old, female patient who developed swelling in calf muscle without the history of trauma. She came with a painful swelling appearing on the right lower limb, growing progressively in the last 10 days, followed by a spontaneous moderate local pain, getting worse on movement. MRI showed a diffuse high signal intensity in the right gastrocnemius muscle, images revealed oedematous changes in adjacent soft tissues and signs corresponding to myositis. The collective findings were consistent with a diagnosis of focal myositis. Appropriately, non-steroidal anti-inflammatory therapy with physical therapy was performed. A physical examination performed 14 days after initiation of the treatment, revealed improvement in tenderness and pain.
Authors and Affiliations
Dr. Ashwin Rajbhoj, Dr. Bhosale D, A Dr. Patil, Dr. Ghiya S, Dr. Sugnan A, Dr. Diwan A, Dr. Dave P, Dr. Lumb R
Keywords
Related Articles
- EP ID EP585684
- DOI -
- Views 51
- Downloads 0
Preference trends for antispasmodics among Indian healthcare professionals: Results of a cross sectional survey
Objective: Understanding antispasmodics usage pattern among Indian healthcare practitioners (HCPs). Material and methods: HCPs were interviewed in person to understand preference of antispasmodics. The preference of form...
Clinical Study of Hypertension in Young Adults
This prospective study was undertaken in 40 patients of hypertension in the age group of 18 - 40 years, randomly selected from the in and outdoor patient department over a period of two years. The aim was to study the cl...
Coexistence of Persistent Ductus Caroticus And Ductus Arteriosus
The authors describe what is, to their knowledge a case of coexistence of ductus caroticus and ductus arteriosus along with tetralogy of Fallot. The ductus caroticus is manifested as low lying carotid artery origin at C6...
A rare presentation of viable intrauterine pregnancy with coexisting complete molar pregnancy in a uterus didelphys
Complete hydatidiform mole with co-existing live intrauterine fetus is an extremely rare event. Mullerian anomalies such as uterus didelphys are uncommon variants of normal anatomy. Uterus didelphys is one of the congeni...
Rare Case of Upper Extremity Deep Vein Thrombosis After A Wasp Bite
Upper extremity deep venous thrombosis (UEDVT) usually refers to thrombosis of the axillary or subclavian veins. UEDVT is much less common than its lower extremity counterpart, constituting only about 5% of all documente...