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Chronic eosinophilic perimyositis with persistent myalgias
Author(s) -
Zivkovic Sasa A.,
Lacomis David,
Clemens Paula R.
Publication year - 2002
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/mus.10054
Subject(s) - myalgia , muscle biopsy , medicine , electromyography , hypereosinophilia , eosinophilic , proximal muscle weakness , eosinophilia , biopsy , muscle weakness , weakness , pathology , surgery , physical medicine and rehabilitation
A 43‐year‐old man with an 8‐year history of hypereosinophilia was evaluated for persistent muscle pain. Methotrexate and corticosteroids were ineffective. Examination, limited by pain even with passive motion, showed only mild weakness. Electromyography and muscle enzymes were normal. A needle muscle biopsy specimen revealed eosinophilic perimyositis. This case illustrates that the diagnosis of eosinophilic perimyositis requires histopathological evaluation, which should be pursued in patients with eosinophilia and persistent myalgia despite normal electromyography and muscle enzymes. © 2002 Wiley Periodicals, Inc. Muscle Nerve 25: 000–000, 2002