MYALGIA, NEUROMYOPATHY AND INTERNALIZED CAPILLARIES - A STEROID-RESPONSIVE SYNDROME

Exertional myalgia may be due to a variety of neuromuscular diseases i ncluding glycolytic enzyme defects, carnitine palmityl transferase def iciency, mitochondrial myopathies and Becker muscular dystrophy. In fe w cases it was associated with neuromyopathy and internalized capillar ies, The latter have also been reported in a variety of neuromuscular disorders. We report a patient with the latter condition in whom exten sive investigations revealed no underlying neuromuscular disease. He r esponded dramatically to steroids on two occasions. This syndrome of m yalgia, neuromyopathy and internalized capillaries should be added to the list of steroid responsive myalgias.