Polymyositis

Rheumatology

Overview

Definition

Inflammatory myopathy without skin involvement.

Epidemiology

Varies globally depending on genetics, environment, or exposure.

Etiology & Risk Factors

  • Autoimmune (CD8+ T-cell mediated).

Clinical Symptoms

  • Symmetric proximal muscle weakness (difficulty climbing stairs
  • combing hair).

Clinical Approach

Diagnosis

  • High CK
  • EMG
  • Muscle biopsy (endomysial inflammation).

Management

  • Systemic corticosteroids
  • Methotrexate.

Complications

  • Interstitial lung disease.