Anti-3-Hydroxy-3-Methylglutaryl-Coenzyme A Reductase Immune-Mediated Necrotizing Myopathy following mRNA SARS-CoV-2 Vaccination

Figure 1

(a) Magnetic resonance imaging (MRI) of the shoulder, oblique axial view, DP sequence, with fat saturation, showing hyperintensity in the m. pectoralis major and m. deltoid. (b) MRI of the shoulder, oblique sagittal view, T2 sequence with fat saturation, showing hyperintensity in the rotator cuff muscles (supraspinatus, infraspinatus, and subscapularis). (c) MRI of the pelvis, axial section, and STIR sequence, showing hypersignal in the adductor and extensor muscles of the thigh and in the gluteus maximus. (d) MRI of the pelvis, coronal section, and STIR sequence, showing hyperintensity in the thigh extensor musculature.

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