Diagnosis of dermatomyositis and polymyositis: a study of 102 cases
Autor(a) principal: | |
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Data de Publicação: | 2000 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos de neuro-psiquiatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2000000500001 |
Resumo: | Patients with dermatomyositis (DM) or polymyositis (PM) were studied retrospectively. The patients were divided into four groups: definite PM 24, probable PM 19, definite DM 34 and mild-early DM 25 cases. PM patients complained more often proximal muscle weakness [p <0.01]. DM patients complained more arthralgia [p <0.05], dysphagia [p <0.03] and weight loss [p <0.04]. Five patients had a malignant neoplasm and 9 had other connective-tissue disease. DM presented higher ESR than PM [p <0.002]. PM presented more significant increase in creatine kinase (CK) [p <0.02] and in alanine aminotransferase (ALT) [p <0.001] levels. Electromyography showed myopathic pattern in 76%. Muscle biopsy was the definitive test. Perifascicular atrophy was more frequent in definite DM than in mild-early DM group [p <0.03]. CONCLUSION: A small association with connective-tissue diseases and neoplasms was found. DM and PM are clinically different. DM presents systemic involvement affecting the skin, developing more severe arthralgia, dysphagia and weight loss and presenting higher values of ESR. PM presents a restricted and more significant involvement of muscles generating more weakness complaints and higher levels of serum muscle enzymes. |
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Diagnosis of dermatomyositis and polymyositis: a study of 102 casespolymyositisdermatomyositisinflammatory myopathydiagnosisPatients with dermatomyositis (DM) or polymyositis (PM) were studied retrospectively. The patients were divided into four groups: definite PM 24, probable PM 19, definite DM 34 and mild-early DM 25 cases. PM patients complained more often proximal muscle weakness [p <0.01]. DM patients complained more arthralgia [p <0.05], dysphagia [p <0.03] and weight loss [p <0.04]. Five patients had a malignant neoplasm and 9 had other connective-tissue disease. DM presented higher ESR than PM [p <0.002]. PM presented more significant increase in creatine kinase (CK) [p <0.02] and in alanine aminotransferase (ALT) [p <0.001] levels. Electromyography showed myopathic pattern in 76%. Muscle biopsy was the definitive test. Perifascicular atrophy was more frequent in definite DM than in mild-early DM group [p <0.03]. CONCLUSION: A small association with connective-tissue diseases and neoplasms was found. DM and PM are clinically different. DM presents systemic involvement affecting the skin, developing more severe arthralgia, dysphagia and weight loss and presenting higher values of ESR. PM presents a restricted and more significant involvement of muscles generating more weakness complaints and higher levels of serum muscle enzymes.Academia Brasileira de Neurologia - ABNEURO2000-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2000000500001Arquivos de Neuro-Psiquiatria v.58 n.3B 2000reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/S0004-282X2000000500001info:eu-repo/semantics/openAccessSCOLA,ROSANA HERMINIAWERNECK,LINEU CESARPREVEDELLO,DANIEL MONTE SERRATTODERKE,EDIMAR LEANDROIWAMOTO,FÁBIO MASSAITIeng2000-12-06T00:00:00Zoai:scielo:S0004-282X2000000500001Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2000-12-06T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse |
dc.title.none.fl_str_mv |
Diagnosis of dermatomyositis and polymyositis: a study of 102 cases |
title |
Diagnosis of dermatomyositis and polymyositis: a study of 102 cases |
spellingShingle |
Diagnosis of dermatomyositis and polymyositis: a study of 102 cases SCOLA,ROSANA HERMINIA polymyositis dermatomyositis inflammatory myopathy diagnosis |
title_short |
Diagnosis of dermatomyositis and polymyositis: a study of 102 cases |
title_full |
Diagnosis of dermatomyositis and polymyositis: a study of 102 cases |
title_fullStr |
Diagnosis of dermatomyositis and polymyositis: a study of 102 cases |
title_full_unstemmed |
Diagnosis of dermatomyositis and polymyositis: a study of 102 cases |
title_sort |
Diagnosis of dermatomyositis and polymyositis: a study of 102 cases |
author |
SCOLA,ROSANA HERMINIA |
author_facet |
SCOLA,ROSANA HERMINIA WERNECK,LINEU CESAR PREVEDELLO,DANIEL MONTE SERRAT TODERKE,EDIMAR LEANDRO IWAMOTO,FÁBIO MASSAITI |
author_role |
author |
author2 |
WERNECK,LINEU CESAR PREVEDELLO,DANIEL MONTE SERRAT TODERKE,EDIMAR LEANDRO IWAMOTO,FÁBIO MASSAITI |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
SCOLA,ROSANA HERMINIA WERNECK,LINEU CESAR PREVEDELLO,DANIEL MONTE SERRAT TODERKE,EDIMAR LEANDRO IWAMOTO,FÁBIO MASSAITI |
dc.subject.por.fl_str_mv |
polymyositis dermatomyositis inflammatory myopathy diagnosis |
topic |
polymyositis dermatomyositis inflammatory myopathy diagnosis |
description |
Patients with dermatomyositis (DM) or polymyositis (PM) were studied retrospectively. The patients were divided into four groups: definite PM 24, probable PM 19, definite DM 34 and mild-early DM 25 cases. PM patients complained more often proximal muscle weakness [p <0.01]. DM patients complained more arthralgia [p <0.05], dysphagia [p <0.03] and weight loss [p <0.04]. Five patients had a malignant neoplasm and 9 had other connective-tissue disease. DM presented higher ESR than PM [p <0.002]. PM presented more significant increase in creatine kinase (CK) [p <0.02] and in alanine aminotransferase (ALT) [p <0.001] levels. Electromyography showed myopathic pattern in 76%. Muscle biopsy was the definitive test. Perifascicular atrophy was more frequent in definite DM than in mild-early DM group [p <0.03]. CONCLUSION: A small association with connective-tissue diseases and neoplasms was found. DM and PM are clinically different. DM presents systemic involvement affecting the skin, developing more severe arthralgia, dysphagia and weight loss and presenting higher values of ESR. PM presents a restricted and more significant involvement of muscles generating more weakness complaints and higher levels of serum muscle enzymes. |
publishDate |
2000 |
dc.date.none.fl_str_mv |
2000-09-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2000000500001 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2000000500001 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0004-282X2000000500001 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
dc.source.none.fl_str_mv |
Arquivos de Neuro-Psiquiatria v.58 n.3B 2000 reponame:Arquivos de neuro-psiquiatria (Online) instname:Academia Brasileira de Neurologia instacron:ABNEURO |
instname_str |
Academia Brasileira de Neurologia |
instacron_str |
ABNEURO |
institution |
ABNEURO |
reponame_str |
Arquivos de neuro-psiquiatria (Online) |
collection |
Arquivos de neuro-psiquiatria (Online) |
repository.name.fl_str_mv |
Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia |
repository.mail.fl_str_mv |
||revista.arquivos@abneuro.org |
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