Polymyositis and dermatomyositis history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]
Overview
History and Symptoms
- Polymyositis and dermatomyositis is a multisystem disorder that involves many organs.[1][2][3][4][5]
- The hallmark of polymyositis is symmetric muscle weakness.
- The hallmark of dermatomyositis is skin manifestation.
History
Patients with polymyositis and dermatomyositis may have a positive history of:
- Gradual worsening of proximal muscle weakness manifested as difficulty climbing stairs, getting up from a chair, carrying heavy groceries, or picking up their children
- Past medical history of other autoimmune diseases
- Family history of autoimmune diseases
Common Symptoms
Common symptoms of polymyositis and dermatomyositis include:
- Symmetric muscle weakness manifested as:
- Difficulty raising their arms above the shoulders
- Climbing steps
- Rising from sitting
- Mild myalgias
- Feeling of contraction of the arms and legs
- Skin eruptions
- Fever
- Fatigue
- Joint pain
- Joint swelling
Less Common Symptoms
Less common symptoms of polymyositis and dermatomyositis include:
- Weight loss
- Cough
- Difficulty swallowing
- Dyspnea
- Dysphagia
- Nasal regurgitation
- Aspiration
- Periorbital swelling
- Fingernails swelling
- Splitting of the skin of the fingers
References
- ↑ Khan, Sabiha; Christopher-Stine, Lisa (2011). "Polymyositis, Dermatomyositis, and Autoimmune Necrotizing Myopathy: Clinical Features". Rheumatic Disease Clinics of North America. 37 (2): 143–158. doi:10.1016/j.rdc.2011.01.001. ISSN 0889-857X.
- ↑ Dobloug, Cecilie; Garen, Torhild; Bitter, Helle; Stjärne, Johan; Stenseth, Guri; Grøvle, Lars; Sem, Marthe; Gran, Jan Tore; Molberg, Øyvind (2015). "Prevalence and clinical characteristics of adult polymyositis and dermatomyositis; data from a large and unselected Norwegian cohort". Annals of the Rheumatic Diseases. 74 (8): 1551–1556. doi:10.1136/annrheumdis-2013-205127. ISSN 0003-4967.
- ↑ Chinoy, H.; Fertig, N.; Oddis, C. V; Ollier, W. E R; Cooper, R. G (2007). "The diagnostic utility of myositis autoantibody testing for predicting the risk of cancer-associated myositis". Annals of the Rheumatic Diseases. 66 (10): 1345–1349. doi:10.1136/ard.2006.068502. ISSN 0003-4967.
- ↑ Dalakas, Marinos C; Hohlfeld, Reinhard (2003). "Polymyositis and dermatomyositis". The Lancet. 362 (9388): 971–982. doi:10.1016/S0140-6736(03)14368-1. ISSN 0140-6736.
- ↑ Douglas, William W.; Tazelaar, Henry D.; Hartman, Thomas E.; Hartman, Robert P.; Decker, Paul A.; Schroeder, Darrell R.; Ryu, Jay H. (2001). "Polymyositis–Dermatomyositis-associated Interstitial Lung Disease". American Journal of Respiratory and Critical Care Medicine. 164 (7): 1182–1185. doi:10.1164/ajrccm.164.7.2103110. ISSN 1073-449X.