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March 1992

Polymyositis Presenting as a Neck Mass

Author Affiliations

From the Department of Otolaryngology and Communicative Disorders, The Cleveland (Ohio) Clinic Foundation. Read before the Middle Section Triologic Society, Milwaukee, Wis, January 21, 1991.

Arch Otolaryngol Head Neck Surg. 1992;118(3):318-320. doi:10.1001/archotol.1992.01880030108022

• Polymyositis is a rare disease entity belonging to the class of enigmatic disorders known as the collagen vascular diseases. It is characterized by proximal muscle weakness. More than 50% of the patients with this disease have development of head and neck manifestations, most commonly a heliotrope rash or dysphagia. Weakness and atrophy of neck muscles, and lolling of the neck have also been described. We report a case of polymyositis presenting as a neck mass, a heretofore undescribed manifestation of this disease in the head and neck. A review of the literature and an interdisciplinary approach to the diagnosis and management of this unusual disease will be described.

(Arch Otolaryngol Head Neck Surg. 1992;118:318-320)