This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on ISI (1)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Radiologic Imaging  • Neuromuscular diseases  • Pediatric Neurology  • Neurology, Other  • Magnetic Resonance Imaging  • Alert me on articles by topic

Toshitaka Kawarai, MD; Hirotake Nishimura, MD; Koichiro Taniguchi, MD; Naoki Saji, MD; Hirotaka Shimizu, MD; Makoto Tadano, MD; Teruo Shirabe, MD; Yasushi Kita, MD

Arch Neurol. 2007;64(8):1200-1201.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 15-year-old girl presented with pain in the back of both thighs. On examination there was severe pain but no erythema or palpable tumor in her thighs. Findings from laboratory examinations were normal except for the serum creatine kinase levels, the concentrations of which increased from 3977 U/L to 5877 U/L (to convert to microkatal per liter, multiply by 0.0167) over the course of 3 days of clinical follow-up.

Magnetic resonance imaging of her thighs revealed an increased signal intensity on the T2-weighted image. The abnormal signal was more clearly revealed on the short tau inversion recovery image (Figure 1). Microscopic examination of the biopsied muscle tissue showed myopathic changes with degeneration, necrosis, and myophagia (Figure 2). Findings from immunological investigation for . . . [Full Text of this Article]

AUTHOR INFORMATION