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Horst P. Schmitt, MD
Institute of Neuropathology University of Heidelberg D-6900 Heidelberg 1 Im Neuenheimer Feld 220 West Germany

Arch Neurol. 1981;38(9):601.

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

To the Editor.—

In the November issue of the ARCHIVES (1980;37:709-714) Hastings and collaborators described "internalized capillaries" in skeletal muscle fibers in dominantly inherited pseudohypertrophic muscular dystrophy. The authors quoted Shafiq et al,¹ who observed the same phenomenon in idiopathic cardiomyopathy with skeletal muscle disease, and Huntington,² who saw internalized capillaries in a 54-year-old man with peripheral neuropathy.

I found the same phenomenon twice. Once was in the gastrocnemius of a 61-year-old man who had died of cancer of the stomach. A herpes zoster infection had developed in the left leg. The muscles in the related areas showed signs of "chronic myopathy" with plenty of muscle fibers displaying internalized capillaries. The other observation was made in the gastrocnemius biopsy of a 49-year-old man with the clinical diagnosis of Roussy-Lévy disease. The biopsy showed mild signs of denervation atrophy. In a biopsy of the sural nerve, demyelination and onion . . . [Full Text PDF of this Article]

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