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Dermatomyositis with inclusion body myositis pathology
Authors:Robert Layzer MD  Han Sung Lee MD  PhD  Donald Iverson MD  Marta Margeta MD  PhD
Affiliation:1. Department of Neurology, Box 0114, UCSF, University of California, San Francisco, California 94143, USA;2. Department of Pathology, University of California, San Francisco, California, USA;3. Eureka, California, USA
Abstract:The pathogenic role of inflammation in inclusion body myositis (IBM) remains uncertain. A 63‐year‐old man developed a severe, rapidly progressive myopathy with clinical features typical of dermatomyositis (DM), but muscle pathology was typical of IBM. Treatment with prednisone and methotrexate resulted in complete remission of symptoms. Together with two similar cases reported previously, this case suggests that the inflammatory process of DM may trigger the pathologic changes of IBM. Muscle Nerve, 2009
Keywords:dermatomyositis  inclusion body myositis  muscle pathology  corticosteroid therapy  methotrexate therapy
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