Article ; Online: Sporadic Late-onset Nemaline Myopathy Associated with Sjögren's Syndrome: A Case Report.
Internal medicine (Tokyo, Japan)
2024
Abstract: We report the case of a 46-year-old female patient who developed a subacute progression of axial and proximal muscle weakness. Laboratory findings revealed mildly elevated serum creatine kinase levels. No monoclonal gammopathy was detected. A muscle ... ...
| Abstract | We report the case of a 46-year-old female patient who developed a subacute progression of axial and proximal muscle weakness. Laboratory findings revealed mildly elevated serum creatine kinase levels. No monoclonal gammopathy was detected. A muscle biopsy revealed that she had nemaline myopathy. Serological tests and a lip biopsy revealed Sjögren's syndrome (SjS). We diagnosed her as having sporadic late-onset nemaline myopathy without monoclonal gammopathy of undetermined significance associated with SjS. Her symptoms improved after methylprednisolone pulse therapy followed by intravenous immunoglobulin therapy. A good response to immunotherapy demonstrates the necessity of making a correct diagnosis, for which a muscle biopsy is required. |
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| Language | English | |||||
| Publishing date | 2024-03-04 | |||||
| Publishing country | Japan | |||||
| Document type | Journal Article | |||||
| ZDB-ID | 32371-8 | |||||
| ISSN | 1349-7235 ; 0021-5120 ; 0918-2918 | |||||
| ISSN (online) | 1349-7235 | |||||
| ISSN | 0021-5120 ; 0918-2918 | |||||
| DOI | 10.2169/internalmedicine.3092-23 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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