Open AccessJuly 2003: 62‐year‐old female with progressive muscular weakness
Author(s) -
Hamilton Ronald L.,
Bornemann Antje,
Bohl J¨rgen,
Schneider HansMichael,
Goebel Hans H.,
Schmidt Peter F.,
Gherardi Roamain K.
Publication year - 2004
Publication title -
brain pathology
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 1.986
H-Index - 132
eISSN - 1750-3639
pISSN - 1015-6305
DOI - 10.1111/j.1750-3639.2004.tb00504.x
Subject(s) - neuropathology , medicine , classics , philosophy , art , pathology , disease
The July 2003 Case of the Month (COM). A 62-year-old female patient experienced progressive muscular weakness over the last ten years, involving shoulder and pelvic girdle muscles, paraspinal and facial muscles. A biopsy was taken from the left deltoid muscle where hepatitis vaccination had taken place 4 weeks previously. The specimen revealed macrophagic myofasciitis due to the injection of aluminium-bound vaccines. The finding can be reproduced experimentally by injecting vaccines in rats. The pathomechanism is supposed to involve immune stimulation due to long term persistence of the adjuvant. Macrophagic myofasciitis has been suggested to occasionally cause myopathy but is supposed to be unrelated to the underlying myopathy in our patient.