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OVERLAP AXONAL POLYNEUROPATHY WITH IMMUNE MEDIATED NECROTISING MYOPATHY
Ewe Jin Koh1, Ming Lee Chin1, Nor Aizan Ab Allah2
1Department of Internal Medicine, Hospital Taiping, Perak-Malaysia.
Journal of Ayub Medical College, Abbottabad : JAMC
|December 3, 2024
Summary
This case report details a rare instance of immune-mediated necrotising myopathy (IMNM) without specific antibodies, accompanied by axonal polyneuropathy. The patient responded well to steroid treatment, achieving remission.
Area of Science:
- Neurology
- Rheumatology
- Immunology
Background:
- Immune-mediated necrotising myopathy (IMNM) is a rare autoimmune muscle disease within the idiopathic inflammatory myopathies (IIM) spectrum.
- IMNM diagnosis typically relies on muscle biopsy showing necrosis without significant inflammation, often associated with myositis-specific antibodies.
- A concurrent polyneuropathy with IMNM has not been previously documented in medical literature.
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