A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Ghiya, S.
- Unilateral Lower Limb Focal Myositis
Authors
1 Department of Medicine, Padmashri Dr. Vithalrao Vikhe Patil Foundation’s Medical College and Dr. Vikhe Patil Memorial Hospital, Ahmednagar, Maharashtra, IN
Source
The Indian Practitioner, Vol 68, No 10 (2015), Pagination: 33-35Abstract
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.
Keywords
Myositis, Focal, MRI, Electromyography, Inflammatory Myopathy.
- Correlation of Carotid Intima Media Thickness (As a Marker of Atherosclerosis) with Inflammatory Markers, Disease Activity and Duration of Rheumatoid Arthritis
Authors
1 Department of Medicine and Rheumatology, Bharati Vidyapeeth Deemed University and Medical College, Pune, IN
Source
The Indian Practitioner, Vol 69, No 6 (2016), Pagination: 55-58Abstract
No Abstract.References
- Gary SF, Raph CB, Edward D H. Kelly’s Textbook of Rheumatology ,8th Ed. Philadelphia, Saunders Elsevier 1981; Atherosclerosis in Rheumatoid Arthritis:421-4280
- Doran MF, Pond GR, Crowson CS. Trends in incidence and mortality in rheumatoid arthritis in Rchester, Minnesota over a forty-year period. Arthritis Rheum. 2002;46:625.
- Rantapää-Dahlqvist S, de Jong BA, Berglin E et al. Antibodies against cyclic citrullinated peptide and IgA rheumatoid factor predict the development of rheumatoid arthritis. Arthritis Rheum. 2003;48:2741
- Grover S, Sinha RP, Singh U, Tewari S Agarwal A, Misra R N. Subclinical atherosclerosis in RA in India. J Rheumatol.2006;33:244-47.
- Carl Turesson. Endothelial expression of MHC class II molecules in autoimmune disease. Curr Pharm Design. 2004;10:129-43.
- Kerekes G, Szekanecz Z, Dér H et al. Endothelial dysfunction and atherosclerosis in rheumatoid arthritis: a multiparametric analysis using imaging techniques and laboratory markers of inflammation and autoimmunity. J Rheumatol. 2008;35:398-406.
- H Singh, Mukesh Goyal, J Sen, Harish Kumar, Rahul Handa, Susheel Garg. Correlation of Intima Media Thickness (as a Marker of Atherosclerosis) with Activity and Duration of Rheumatoid Arthritis using Carotid Ultrasound. JIACM. 2011;12(1):15-20.
- Mahajan V, Handa R, Kumar U, Sharma S, Gulati G, Pandey RM et al. Assessment of atherosclerosis by carotid intimomedial thickness in patients with rheumatoid arthritis. JAPI. 2008;56:587-90.
- Gonzalez-Juanatey C, Llorca J. Carotid intima-media thickness predicts the development of cardiovascular events in patients with rheumatoid arthritis. Semin Arthritis Rheum. 2009;38(5):366-71.
- Del Rincon I, Williams K, Stern MP, Freeman GL. Association between carotid atherosclerosis and markers of inflammation in rheumatoid arthritis patients and healthy subjects. Arthritis Rheum. 2003;48(7):1833-40.
- Skeoch S, Ian Bruce I. Atherosclerosis in rheumatoid arthritis; nature reviews Rheumatology. 2015;11:390-400.
- Gupta N, Saigal R.Carotid Intima Media Thickness as a Marker of Atherosclerosis in Ankylosing Spondylitis. International Journal of Rheumatology. Volume 2014 (2014), Article ID 839135.