Myositis (peds): Difference between revisions
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==Background== | ==Background== | ||
*Influenza is one of the most common causes of viral myositis | |||
*[[Rhabdo]] is unusual but has been reported. | |||
==Clinical Features== | ==Clinical Features== | ||
*Patients usually have a history of recent illness (fever, URI symptoms, fever, etc) | |||
*Significant myalgias as starting to improve from constitutional symptoms | |||
**Most commonly lower legs | |||
**Can have pain and tenderness in other muscle groups (thighs, arms) | |||
*Usually look well, but will sometimes walk with wide gait and on their toes | |||
**When lying in bed, will often keep toes pointed with pain in calves upon dorsiflexion | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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==Evaluation== | ==Evaluation== | ||
===Workup=== | |||
*Total ck | |||
*UA (for myoglobin) | |||
===Diagnosis=== | |||
==Management== | ==Management== | ||
Revision as of 00:08, 2 April 2019
Background
- Influenza is one of the most common causes of viral myositis
- Rhabdo is unusual but has been reported.
Clinical Features
- Patients usually have a history of recent illness (fever, URI symptoms, fever, etc)
- Significant myalgias as starting to improve from constitutional symptoms
- Most commonly lower legs
- Can have pain and tenderness in other muscle groups (thighs, arms)
- Usually look well, but will sometimes walk with wide gait and on their toes
- When lying in bed, will often keep toes pointed with pain in calves upon dorsiflexion
Differential Diagnosis
Evaluation
Workup
- Total ck
- UA (for myoglobin)