2009-11-17
A RARE DISEASE: INTERSTITIAL MYOSITIS
Specialized Medicine

The term myositis is often misused as a synonym of myalgia, but this should never occur because myositis is a different pathological process.
Myalgia is, in fact, a term for generic muscle pain and, although it is true that it is also present in myositis, is not its only peculiarity.
Myositis predominantly affects striated muscle, and only minimally involves the cardiac muscle.
There are also other forms of myositis that contribute to congenital or acquired torticollis.
Interstitial myositis, consisting of fibrous degeneration of muscle tissue, may involve the sternocleidomastoid muscle and be a contributing factor to torticollis: in fact,it seems that an extravasation of serum, allows the proliferation of connective tissue elements between the muscle fibers that subsequently causes the muscle contraction.
There is also an inflammatory form, based on the hypothesis that traumatic events occurring especially during fetal life, may result in the formation of an area of weakened resistance where an infection could set in and ultimately cause the muscle contraction.
Laboratory exams show an increase serum level of muscular enzymes, as well as important diagnostic electromyographic abnormalities.
Corticosteroids, including prednisone and immunosuppressive therapy, help in eliminate, or at least mitigate, the disease.
LUCA GABRIELE PUNZIANO
Luca Gabriele Punziano General Practitioner Specializing in Preventive Medicine and Hygiene, Umberto I Rome, Italy
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Specialized Medicine
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Specialized Medicine
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