INTEREST in the allergic cause of various myalgias developed as a result of clinical observations on patients undergoing individual food tests1 for the diagnosis of specific food sensitivity. Myalgia of the cervical muscles has been repeatedly observed to follow experimental ingestion of foods or exposure to inhalants in specifically sensitized persons. The facts that these muscular symptoms may be reproduced repeatedly and at will in experimental circumstances and that such complaints may be relieved by avoidance of incriminated allergens are the basis of the thesis that such manifestations are of allergic origin.
The allergic response of skeletal musculature may be localized to regional groups of muscles, to a single muscle or, apparently, to a segment of a given muscle. In other instances the process seems to involve multiple groups of muscles, such involvement giving rise to the impression that the reaction is generalized in character.
Of the various localized
RANDOLPH TG. ALLERGY AS A CAUSE OF NUCHAL MYALGIA AND ASSOCIATED HEADACHE. Arch Otolaryngol. 1949;50(6):745–758. doi:10.1001/archotol.1949.00700010760009
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