Muscle Diseases - Polymyositis



Polymyositis is a disorder of muscular and connective tissues affecting both sexes, males more commonly than females. It can occur at any age, although usually after the fourth decade. It is characterized by muscle weakness with associated muscle wasting; about half of the patients complain of muscle pain or tenderness. The disease may begin suddenly, but often follows an earlier mild, febrile illness. Changes in the skin are common, including a faint red-violet discoloration, particularly about the eyelids, and these changes are often associated with mild swelling. There may be a scaly rash. Some patients have ulcerations over the bony prominences. About one-quarter of the patients with polymyositis complain of joint stiffness and tenderness and an unusual phenomenon in which the nail beds become blue ( cyanotic ) after minor exposure to cold.

Treatment

The treatment involves the administration of cortisone preparations, which may be required for many years. General supportive care, including appropriate physical therapy, is recommended.



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