Polymyositis
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Clinic
- Polymyositis (PM) is a type of inflammatory myopathy related to dermatomyositis and inclusion body myositis.
- The hallmark of polymyositis is weakness and/or Atrophy
- These symptoms can be associated with marked pain in these areas as well.
- The hip extensors are often severely affected, leading to particular difficulty in climbing stairs and rising from a seated position.
- Dysphagia or other problems with esophageal motility occur in as many as 1/3 of patients.
- Low grade fever and enlarged lymph nodes may be present.
- Foot drop in one or both feet can be a symptom of advanced polymyositis and inclusion body myositis.
- Systemic involvement of polymyositis includes interstitial lung disease (ILD) and heart disease, such as heart failure and conduction abnormalities.
- The weakness is generally progressive, accompanied by lymphocytic inflammation (mainly cytotoxic T cells)
Related entities
- Dermatitis
- Arthritis
- Cutaneous vasculitis
- Raynaud Syndrome
Related disease
- Cancer: Nasopharyngeal cancer, Lung cancer, Non-Hodgkin's lymphoma, Bladder cancer
- Interstitial lung disease 65%
- Anti-Jo-1 antibody
- Cardiac involvement manifests in 77% of patients
- Celiac disease