Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Clinical Rheumatology
Published in: Clinical Rheumatology 9/2007

01-09-2007 | Case Report

A case of polymyositis complicated with myasthenic crisis

Authors: Yoshito Yoshidome, Shinji Morimoto, Naoto Tamura, Shigeto Kobayashi, Hiroshi Tsuda, Hiroshi Hashimoto, Yoshinari Takasaki

Published in: Clinical Rheumatology | Issue 9/2007

Login to get access

Abstract

We report a 62-year-old woman who suffered from polymyositis (PM) complicated with myasthenic crisis. Electromyography and muscle biopsy indicated a diagnosis of PM; however, respiratory failure due to respiratory muscle weakness was seen in spite of a normal serum creatine kinase (CK) level. The positive anti-acetylcholine receptor antibody led us to the diagnosis of myasthenic crisis. PM with respiratory muscle weakness is rare. We suggest that the possibility of other neurological disorder complications should be considered when PM patients have respiratory muscle weakness out of proportion to the serum CK level.
Literature
1.
Bedlack RS, Sanders DB (2002) On the concept of myasthenic crisis. J Clin Neuromusc Dis 4:40CrossRef
2.
Pearson CM, Currie S (1974) Polymyositis and related disorders. In: Walton JN (ed) Disorders of voluntary muscle. Churchill, Edinburgh, pp 614–652
3.
Sakaida H, Kawakami M, Abe M, Tochigi S (2000) Polymyositis progressing to myasthenia gravis with acute respiratory failure. Shinkei Tiryou 17:159–162
4.
Yokoe M, Kajiyama K, Hara Y, Sato T, Fujimura H (2001) Preferential respiratory muscle damage in a patient with postpartum chronic polymyositis. Shinkei Naika 55:274–278
5.
Nakashima D, Nakajima H, Uehara H, Fukuda K, Hanafusa T (2003) Polymyositis with acute respiratory failure. A case report. Shinkei Naika 58:594–596
6.
Sano M, Suzuki M, Sato M, Sakamoto T, Uchigata M (1994) Fatal respiratory failure due to polymyositis. Intern Med 33:185–187PubMed
7.
Selva OA, Sanchez SL, Munoz GX, Mijares BBT, Solans LR, Angel BGJ et al (2000) Respiratory failure due to muscle weakness in inflammatory myopathies: maintenance therapy with home mechanical ventilation. Rheumatology 39:914–916CrossRef
8.
Ishikawa S, Takei Y, Maruyama T, Koyama S, Hanyu N (2000) A case of polymyositis presenting pregnancy with acute respiratory failure. Rinsho Shinkei 40:140–144
Metadata
Title
A case of polymyositis complicated with myasthenic crisis
Authors
Yoshito Yoshidome
Shinji Morimoto
Naoto Tamura
Shigeto Kobayashi
Hiroshi Tsuda
Hiroshi Hashimoto
Yoshinari Takasaki
Publication date
01-09-2007
Publisher
Springer-Verlag
Published in
Clinical Rheumatology / Issue 9/2007
Print ISSN: 0770-3198
Electronic ISSN: 1434-9949
DOI
https://doi.org/10.1007/s10067-006-0459-z

Other articles of this Issue 9/2007

Clinical Rheumatology 9/2007 Go to the issue

Original Article

A national survey to assess investigation and management protocols followed in dealing with steroid-induced osteoporosis

Case Report

Excellent response to the clinical treatment of tophaceous gout

Editorial Update

Editorial update

Case Report

Antitumor necrosis factor-induced neutropenia: a case report with double positive rechallenges

Original Article

Prevalence and clinical significance of antibodies to citrullinated fibrinogen (ACF) in Chinese patients with rheumatoid arthritis

Original Article

Manifestations of metabolic syndrome associated with male gout in different age strata
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Reserve your place

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

Read more

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine
Image Credits