Dasatinib-Induced Polymyositis-Like Syndrome: A Report of a Rare Case

Arathi Kulkarni1, Chandana Keshavamurthy2, Tamim Sultani3

  • 1Rheumatology, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Davie, USA.

Cureus
|July 22, 2025
PubMed

Myositis is an inflammatory muscle disease characterized by chronic inflammation, progressive muscle weakness, and various systemic effects. Dasatinib, a tyrosine kinase inhibitor (TKI), is commonly used as a first-line treatment for chronic myelogenous leukemia (CML). Although it is generally effective, there have been rare cases where dasatinib can induce muscle damage, leading to muscle weakness. We wanted to highlight a unique case involving a 24-year-old Caucasian male who was treated with dasatinib for CML and subsequently developed proximal weakness in both his upper and lower extremities. Imaging studies, including multiple MRI scans, revealed diffuse muscular edema. Importantly, the patient did not receive steroid treatment; however, his symptoms significantly improved after discontinuing dasatinib. This case is a noteworthy contribution to the understanding of dasatinib-induced polymyositis-like syndrome, as it represents the first documented instance, to the best of our knowledge, based on our literature review. Such cases emphasize the need for close monitoring of muscle health in patients receiving dasatinib and encourage further investigation into the relationship between this medication and myositis.