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

(134K)	Endomysial granulomatous inflammation	(143K)	Endomysial granulomatous inflammation	(142K)	Endomysial granulomatous inflammation	(138K)	Endomysial granulomatous inflammation
(125K)	Nonspecific esterase reaction reveals monocytic cells in granulomas	(152K)	Focus of granulomatous vasculitis	(116K)	SDH stain shows nonspecific myopathic changes of muscle

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