Immune-Mediated Necrotizing Myopathy Initially Presenting as Erythema Nodosum
Shuni Ying, Sheng Li, Shunli Tang, Qingmiao Sun, Deren Fang, Yali Li, Dingxian Zhu, Hong Fang, Jianjun Qiao Department of Dermatology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, People’s Republic of ChinaCorrespondence: Jianjun Qiao; Hong FangDe...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2020-08-01
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| Series: | Journal of Inflammation Research |
| Subjects: | |
| Online Access: | https://www.dovepress.com/immune-mediated-necrotizing-myopathy-initially-presenting-as-erythema--peer-reviewed-article-JIR |
| _version_ | 1818892299029970944 |
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| author | Ying S Li S Tang S Sun Q Fang D Li Y Zhu D Fang H Qiao J |
| author_facet | Ying S Li S Tang S Sun Q Fang D Li Y Zhu D Fang H Qiao J |
| author_sort | Ying S |
| collection | DOAJ |
| description | Shuni Ying, Sheng Li, Shunli Tang, Qingmiao Sun, Deren Fang, Yali Li, Dingxian Zhu, Hong Fang, Jianjun Qiao Department of Dermatology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, People’s Republic of ChinaCorrespondence: Jianjun Qiao; Hong FangDepartment of Dermatology, The First Affiliated Hospital, Zhejiang University School of Medicine, No. 79, Qingchun Road, Hangzhou 310003, People’s Republic of ChinaTel +86-571-87236385Email qiaojianjun@zju.edu.cn; fanghongzy@zju.edu.cnAbstract: Immune-mediated necrotizing myopathy (IMNM) is a type of autoimmune myopathy characterized by severe diffuse proximal myofiber necrosis in the context of inflammatory myopathy. Autoantibodies of anti-signal recognition particle and anti-hydroxy-3-methylglutaryl-CoA reductase are two antibodies specific to IMNM. Erythema nodosum (EN) is often accompanied by various systemic diseases, such as autoimmune diseases. Herein, we report a female patient with signal recognition particle-associated IMNM, with EN as the first presentation. She showed significant clinical improvement after the initiation of glucocorticoids, intravenous immunoglobulin, rituximab, and mycophenolate mofetil. This case indicates that IMNM can initially present as EN. IMNM and EN might have overlapping pathogeneses.Keywords: immune-mediated necrotizing myopathy, erythema nodosum, autoantibody |
| first_indexed | 2024-12-19T17:54:29Z |
| format | Article |
| id | doaj.art-6a73ce6f00f14ed1bb6cbe6f0c33b842 |
| institution | Directory Open Access Journal |
| issn | 1178-7031 |
| language | English |
| last_indexed | 2024-12-19T17:54:29Z |
| publishDate | 2020-08-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Journal of Inflammation Research |
| spelling | doaj.art-6a73ce6f00f14ed1bb6cbe6f0c33b8422022-12-21T20:11:51ZengDove Medical PressJournal of Inflammation Research1178-70312020-08-01Volume 1347147656486Immune-Mediated Necrotizing Myopathy Initially Presenting as Erythema NodosumYing SLi STang SSun QFang DLi YZhu DFang HQiao JShuni Ying, Sheng Li, Shunli Tang, Qingmiao Sun, Deren Fang, Yali Li, Dingxian Zhu, Hong Fang, Jianjun Qiao Department of Dermatology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, People’s Republic of ChinaCorrespondence: Jianjun Qiao; Hong FangDepartment of Dermatology, The First Affiliated Hospital, Zhejiang University School of Medicine, No. 79, Qingchun Road, Hangzhou 310003, People’s Republic of ChinaTel +86-571-87236385Email qiaojianjun@zju.edu.cn; fanghongzy@zju.edu.cnAbstract: Immune-mediated necrotizing myopathy (IMNM) is a type of autoimmune myopathy characterized by severe diffuse proximal myofiber necrosis in the context of inflammatory myopathy. Autoantibodies of anti-signal recognition particle and anti-hydroxy-3-methylglutaryl-CoA reductase are two antibodies specific to IMNM. Erythema nodosum (EN) is often accompanied by various systemic diseases, such as autoimmune diseases. Herein, we report a female patient with signal recognition particle-associated IMNM, with EN as the first presentation. She showed significant clinical improvement after the initiation of glucocorticoids, intravenous immunoglobulin, rituximab, and mycophenolate mofetil. This case indicates that IMNM can initially present as EN. IMNM and EN might have overlapping pathogeneses.Keywords: immune-mediated necrotizing myopathy, erythema nodosum, autoantibodyhttps://www.dovepress.com/immune-mediated-necrotizing-myopathy-initially-presenting-as-erythema--peer-reviewed-article-JIRimmune-mediated necrotizing myopathyerythema nodosumautoantibody |
| spellingShingle | Ying S Li S Tang S Sun Q Fang D Li Y Zhu D Fang H Qiao J Immune-Mediated Necrotizing Myopathy Initially Presenting as Erythema Nodosum Journal of Inflammation Research immune-mediated necrotizing myopathy erythema nodosum autoantibody |
| title | Immune-Mediated Necrotizing Myopathy Initially Presenting as Erythema Nodosum |
| title_full | Immune-Mediated Necrotizing Myopathy Initially Presenting as Erythema Nodosum |
| title_fullStr | Immune-Mediated Necrotizing Myopathy Initially Presenting as Erythema Nodosum |
| title_full_unstemmed | Immune-Mediated Necrotizing Myopathy Initially Presenting as Erythema Nodosum |
| title_short | Immune-Mediated Necrotizing Myopathy Initially Presenting as Erythema Nodosum |
| title_sort | immune mediated necrotizing myopathy initially presenting as erythema nodosum |
| topic | immune-mediated necrotizing myopathy erythema nodosum autoantibody |
| url | https://www.dovepress.com/immune-mediated-necrotizing-myopathy-initially-presenting-as-erythema--peer-reviewed-article-JIR |
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