Camptocormia as a clinical manifestation of polymyositis/systemic sclerosis overlap myositis associated with anti-Ku.
Identifieur interne : 000E79 ( Ncbi/Curation ); précédent : 000E78; suivant : 000E80Camptocormia as a clinical manifestation of polymyositis/systemic sclerosis overlap myositis associated with anti-Ku.
Auteurs : Thierry Zenone [France] ; Nathalie Streichenberger ; Marie PugetSource :
- Rheumatology international [ 1437-160X ] ; 2013.
English descriptors
- KwdEn :
- Aged, Antigens, Nuclear (immunology), Autoantibodies (blood), DNA-Binding Proteins (immunology), Humans, Ku Autoantigen, Male, Muscular Atrophy, Spinal (etiology), Polymyositis (complications), Polymyositis (pathology), Scleroderma, Systemic (complications), Scleroderma, Systemic (pathology), Spinal Curvatures (etiology).
- MESH :
- chemical , blood : Autoantibodies.
- chemical , immunology : Antigens, Nuclear, DNA-Binding Proteins.
- complications : Polymyositis, Scleroderma, Systemic.
- etiology : Muscular Atrophy, Spinal, Spinal Curvatures.
- pathology : Polymyositis, Scleroderma, Systemic.
- Aged, Humans, Ku Autoantigen, Male.
Abstract
Camptocormia, an abnormal truncal flexion posture that occurs while walking or standing, is usually caused by various hypokinetic movement disorders, mainly Parkinson disease. We describe the case of a man with subacute onset of camptocormia. Quadriceps muscle biopsy showed significant rhabdomyolysis, few isolated inflammatory cells and mild expression of type I MHC in few fibers, a pattern usually found in immune-mediated necrotizing myopathies. Myositis was associated with Raynaud's phenomenon, mild sclerodactyly, and anti-Ku antibodies leading to the diagnosis of polymyositis/systemic sclerosis overlap myositis. The posture showed modest improvement in response to treatment.
DOI: 10.1007/s00296-012-2412-6
PubMed: 22453528
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<term>Ku Autoantigen</term>
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<term>Polymyositis (pathology)</term>
<term>Scleroderma, Systemic (complications)</term>
<term>Scleroderma, Systemic (pathology)</term>
<term>Spinal Curvatures (etiology)</term>
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<front><div type="abstract" xml:lang="en">Camptocormia, an abnormal truncal flexion posture that occurs while walking or standing, is usually caused by various hypokinetic movement disorders, mainly Parkinson disease. We describe the case of a man with subacute onset of camptocormia. Quadriceps muscle biopsy showed significant rhabdomyolysis, few isolated inflammatory cells and mild expression of type I MHC in few fibers, a pattern usually found in immune-mediated necrotizing myopathies. Myositis was associated with Raynaud's phenomenon, mild sclerodactyly, and anti-Ku antibodies leading to the diagnosis of polymyositis/systemic sclerosis overlap myositis. The posture showed modest improvement in response to treatment.</div>
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