호주 의사 2년차 라이프

면역매개 괴사근육병 immune-mediated necrotising myopathy IMNM

호닥 2024. 6. 9. 20:10

정말 흔하지 않다.
STICK 을 쓰고 걸었고.
Antibodies 는 모두 negative 였는데 muscle biopsy 에서 positive.
Significant Proxmial weakness >distal weakness 였고
Mycophenolate mofetill 1g BD 를 썼다 pred 쓰다가 weaned off

Response to therapy should be assessed clinically on the basis of muscle strength and biologically on CK levels.

IMNM is the most severe idiopathic inflammatory myopathy in terms of muscle damage, and relapses are frequent.


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