From: Inflammatory myopathy with anti-signal recognition particle antibodies: case series of 100 patients
Findings | (n) |
---|---|
Females/males | 61/39 |
Age at diseases onset | |
Mean ± SD | 51.3 ± 19.3 |
Age ≤ 15 years | 8 |
Antecedent infection | 7 |
Statin-exposure | 5 |
Duration from the disease onset to the first examination | |
≤12 months | 77 |
>12 months | 23 |
Initial symptoms | |
Arms | 19 |
Legs | 67 |
Bulbar | 7 |
Trunk | 7 |
Muscle weakness | |
Legs predominantly than arms | 69 |
Severe limbs weakness | 63 |
Laterality | 16 |
Distal muscle dominant | 3 |
Neck weakness | 70 |
Dysphagia | 41 |
Facial muscle involvement | 10 |
Cardiac muscle involvement | 2 |
Decreased capacity of respiratory function | 12 |
Muscle atrophy | 66 |
Scapular winging | 10 |
Decreased deep tendon reflex | 51 |
Myalgia | 34 |
Extramuscular symptoms | |
Fever | 8 |
Skin rash | 6 |
Arthritis | 4 |
Raynaud phenomenon | 7 |
Interstitial lung disease | 13 |
Associated disorder | |
Cancer | 5 |
Rheumatic disease | 9 |
Blood examination | |
Creatine kinase (IU/L, mean ± SD) | 6161 ± 4725 |
Elevated C-reactive protein | 17 |
Antinuclear antibody positivity | 5 |
Electromyography | |
Spontaneous activity | 41/86 (48 %) |
Low-amplitude, short-duration motor unit potentials | 79/86 (92 %) |
Muscle images | |
Atrophy on CT or MRI | 46/79 (58 %) |
Increased signals on T2 or STIR images | 49/58 (84 %) |
Histological diagnosis | |
Necrotizing myopathy | 84 |
Sporadic inclusion body myositis | 0 |
Polymyositis | 1 |
Dermatomyositis | 1 |
Non-specific myositis | 14 |
Autoantibodies | |
7S RNA of SRP | 100 |
54-kD protein of SRP | 82 |
3-hydroxyl-3-methylglutatyl-coenzyme A reductase | 3 |
Aminoacyl transfer RNA synthetase | 0 |