Contracturing granulomatous myositis in a patient with rheumatoid arthritis: a case report

Neuromuscul Disord. 2024 Mar:36:38-41. doi: 10.1016/j.nmd.2024.01.002. Epub 2024 Jan 10.

Abstract

Contracturing granulomatous myositis is a rare myopathy in which patients present with flexion contractures of the upper limbs in addition to slowly progressive muscle weakness and pain. Whether it represents a distinct nosological entity remains a point of discussion. We present a patient with isolated granulomatous disease of the muscle that responded very well to intravenous immunoglobulins after treatment failure of corticosteroids and methotrexate.

Keywords: Contractures; Granulomas; Myositis.

Publication types

  • Case Reports

MeSH terms

  • Arthritis, Rheumatoid* / complications
  • Arthritis, Rheumatoid* / drug therapy
  • Contracture*
  • Humans
  • Immunoglobulins, Intravenous / therapeutic use
  • Methotrexate / therapeutic use
  • Myositis* / complications
  • Myositis* / diagnosis

Substances

  • Methotrexate
  • Immunoglobulins, Intravenous