JAMES M. STEELE, M.D., F.A.C.P.
Although acute myositis is one of the conditions most commonly encountered by the physician, the chronic and generalized forms are more unusual. Of these, chronic generalized myositis fibrosa is a distinct rarity. First described in 1895 by Janicke,1 in 1951 Stewart and Macgregor2 could find only 11 authenticated cases, to which they added a twelfth.
The disease is insidious in onset, beginning most frequently in the lower extremities. Stiffness and clumsiness are usually the first complaints, without pain, fever or other signs of constitutional "illness." Induration of the affected muscles spreads until the whole muscle belly becomes involved. This progresses
STEELE JM. CHRONIC MYOSITIS FIBROSA: REPORT OF A CASE1. Ann Intern Med. 1959;51:1395–1400. doi: 10.7326/0003-4819-51-6-1395
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Published: Ann Intern Med. 1959;51(6):1395-1400.
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