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Ann Rheum Dis 61:751-752 doi:10.1136/ard.61.8.751
  • Letter

Necrotising myositis in Behçet's disease: characteristic features on magnetic resonance imaging and a review of the literature

  1. H Sarui1,
  2. T Maruyama1,
  3. I Ito1,
  4. N Yamakita2,
  5. N Takeda1,
  6. M Nose3,
  7. K Yasuda1
  1. 1Third Department of Internal Medicine, Gifu University School of Medicine, Japan
  2. 2Department of Internal Medicine, Matsunami General Hospital, Japan
  3. 3Second Department of Pathology, Ehime University School of Medicine, Japan
  1. Correspondence to:
    Dr H Sarui, Third Department of Internal Medicine, Gifu University School of Medicine, 40 Tsukasa-machi Gifu 500–8705, Japan;
    sarui{at}cc.gifu-u.ac.jp
  • Accepted 4 March 2002

Myositis is rarely associated with Behçet's disease. We report such a case with characteristic magnetic resonance imaging (MRI) findings, and review the literature.

CASE REPORT

A 29 year old man was first admitted to Matsunami General Hospital because of high fever and muscle pain of both lower legs, finally resulting in him being unable to walk. Painful multiple subcutaneous nodules of both lower legs and the left arm were seen. There was no history of trauma. Total leucocytes, erythrocyte sedimentation rate, and C reactive protein were raised. The serum creatine kinase value was normal. An MRI study of the lower legs (fig 1) showed a focal mass-like lesion, about 3 cm in diameter, in the left gastrocnemius muscle with a decreased intensity on a T1 weighted image compared with that for normal muscle. Gadolinium enhanced T1 weighted images showed a well defined …