Clinical Case Database / Category: Patient Management
Diagnosis and management of a patient with inflammatory myopathy
Publication details
Dr Matt Popplewell, Dr Diarmuid Mulherin
Foundation Years Journal, volume 6, issue 2, p.25 (123Doc Education, London, February 2012)
Abstract
We present a case of polymyositis associated with extra-muscular involvement of the lungs and oesophagus. This case discussion highlights the importance of diagnosis and treatment. Early diagnosis of the disease is important, as it is associated with high mortality and morbidity. The aetiology of inflammatory myopathy is poorly understood. However successful treatment with corticosteroids and disease modifying agents can greatly improve quality of life and reduce relapses of the disease.
Access the Clinical Cases Database
A subscription is required to read the full article. Please subscribe using one of the options below.
| Product | Price | Subscription | |
|---|---|---|---|
| Foundation Years Clinical Cases Database | £29.00 | 6 months | |
| Foundation Years Clinical Cases Database | £39.00 | 12 months |
Authors
Dr Matt Popplewell
-
Dr Diarmuid Mulherin
Consultant Rheumatologist,
Department Of Rheumatology,
Cannock Chase Hospital,
Cannock, WS11 5XY
diarmuid.mulherin@midstaffs.nhs.uk
References
1. Wortmann R. Inflammatory diseases of muscle and other myopathies. In: Harris E, Budd R, Firestein G, et al. editors. Kelley’s Textbook of Rheumatology. 7th ed. Philadelphia: Elsevier Saunders 2005; 1309-35.
2. Murthy JNK. Drug treatment of polymyositis and dermatomyositis. Neurology India 2010; 58:1 3-5.
3. Lundberg IE, Vencovsky J. Polymyositis, Dermatomyositis. Inflammatory diseases of muscle and other myopathies. Eular on-line course on Connective Tissue Diseases 2007; 7:1-43.
4. Bohan A, Peter JB. Polymyositis and dermatomyositis (first of two parts). N Engl J Med 1975;292(7):344-7.
5. Bakewell CJ, Raghu G. Polymyositis associated with severe interstitial lung disease: Remission after three doses of IV immunoglobulin. Chest 2011; 139(2).
6. Bohan A, Peter JB, Bowman RL, Pearson CM. A computer-assisted analysis of 153 patients with polymyositis and dermatomyositis. Medicine 1977; 86:255-86.
7. Henriksson KG, Lindvall B. Polymmyositis and dermatomyositis 1990-diagnosis, treatment and prognosis. Prog Neurobiol 1990;35: 181-93.
8. Danko K, Pnyi A, Constantin T, Borgulya G, Szegedi G. Long-term survival of patients with idiopathic inflammatory myopathies according to clinical features: A longitudinal study of 162 cases. Medicine (Baltimore) 2004;83:35-42.
Disclaimers
Conflict Of Interest
The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).
Financial Statement
The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.
Patient Consent statement
All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.
Animal & Human Rights
When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.
About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.