INFLAMMATORY MYOPATHIES

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Ectopic lymphoid follicle may be found in connective tissue diseases and has been reported in lupus panniculitis, erythema nodosum, subcutaneous tissue in patients with scleroderma, and, recently, in the muscle of patients with dermatomyositis and brachio-cervical inflammatory myopathy. We report a patient with clinical scleroderma presenting with subacute myopathy with lymphoid follicle on muscle histology. A 29-year-old female with scleroderma confirmed by clinical criteria and skin biopsy, using colchicine, presented with subacute proximal muscle weakness associated with dysphagia and dropped head without CK elevation, but EMG/NCS demonstrated myopathic findings.

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