CASE 9

51 year-old woman, gradually increasing proximal weakness. CPK 800. ANA normal.

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Endomysial granulomatous inflammation
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(143K)
Endomysial granulomatous inflammation
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(142K)
Endomysial granulomatous inflammation
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(138K)
Endomysial granulomatous inflammation
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(125K)
Nonspecific esterase reaction reveals monocytic cells in granulomas
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Focus of granulomatous vasculitis
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(116K)
SDH stain shows nonspecific myopathic changes of muscle

Diagnosis: Granulomatous Myositis This page created on a Macintosh using PhotoPage by John A. Vink.