Polymyositis is a rare disease of the muscles. It usually affects the muscles closest to the trunk of the body. However, it may affect muscles anywhere in the body. The muscles become inflamed or swollen. This causes pain. The disease is progressive and starts slowly. If untreated, the muscles gradually become weaker. The pain in the muscles also increases.
Front Muscles of Trunk
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Polymyositis may be caused by a combination of genetic and environmental factors that trigger an abnormal immune response.
Polymyositis is more common in women, and in people aged 31-60 years old.
Polymyositis may cause: Muscle weaknessMuscle painFatigueGreat effort needed to climb stairsTrouble rising from a chairDifficulty reaching overheadChronic dry cough
This diagnosis is not easy. Symptoms vary from person to person. It is often a matter of ruling out other diseases and conditions. Your doctor will ask about your symptoms and medical history. A physical exam will be done.
Tests may include the following: Blood tests to check for elevated muscle enzymes and autoimmune antibodiesElectromyogram
(EMG) to measure muscle activity
Imaging tests take pictures of internal body structures to look for muscle inflammation. This can be done with an
While there is no cure, treatment can improve your muscle strength and function. Talk with your doctor about the best plan for you. Options include:
Medications to treat polymyositis may include: Corticosteroids to reduce inflammationTopical steroids to treat skin rashImmunosuppresants
is another treatment option. It involves using an IV needle to inject extra immunoglobins (special proteins) into the body. This process may help the immune system function better and reduce inflammation.
Your doctor may recommend that you work with a physical therapist to prevent permanent muscle damage. Exercise may include: A regular stretching routine for weakened arms and legsLight strengthening as the pain lessens and function returns
Polymyositis can lead to problems with chewing and swallowing. By working with a registered dietitian, you can learn ways to adjust to these changes and get the nutrition that you need.
Polymyositis may also cause speech problems. A speech therapist can assess your condition and create a program for you.
There are no current guidelines to prevent polymyositis.
Choy EH, Hoogendijk JE, Lecky B, Winer JB, Gordon P. Immunosuppressant and immunomodulatory treatment for dermatomyositis and polymyositis.
Cochrane Database Syst Rev
Simply stated: the creatine kinase test.
Last reviewed June 2013 by John C. Keel, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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