Myonecrosis in Sickle Cell Anemia

To the Editor: Myonecrosis is a rare complication of sickle cell anemia. We report the development of myonecrosis with a sterile abscess in a 24-year-old black woman with sickle cell anemia, who was admitted to the hospital because of severe pain and numbness in the left thigh. She had had numerous admissions to the hospital for painful crises. Examination of the legs revealed mild swelling of the left thigh, without erythema or warmth. There was decreased fine sensation from midthigh to midcalf. The rest of the physical examination was unremarkable. Blood cultures were negative. Radiographs of both legs and magnetic . . .