CONTRASTING ECHOGENICITY IN FLEXOR DIGITORUM PROFUNDUS- FLEXOR CARPI ULNARIS: A DIAGNOSTIC ULTRASOUND PATTERN IN SPORADIC INCLUSION BODY MYOSITIS

被引：51

作者：

Noto, Yu-Ichi ^{[1
]}

Shiga, Kensuke ^{[1
]}

Tsuji, Yukiko ^{[1
]}

Kondo, Masaki ^{[1
]}

Tokuda, Takahiko ^{[1
]}

Mizuno, Toshiki ^{[1
]}

Nakagawa, Masanori ^{[2
]}

机构：

[1] Kyoto Prefectural Univ Med, Grad Sch Med Sci, Dept Neurol, Kamigyo Ku, Kyoto 6020841, Japan

[2] Kyoto Prefectural Univ Med, Grad Sch Med Sci, Kyoto 6020841, Japan

来源：

MUSCLE & NERVE | 2014年 / 49卷 / 05期

关键词：

amyotrophic lateral sclerosis; diagnosis; inclusion body myositis; muscle; ultrasound; MUSCLE;

D O I：

10.1002/mus.24056

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Introduction: In this study we aimed to clarify whether muscle ultrasound (US) of the forearm can be used to differentiate between patients with sporadic inclusion body myositis (s-IBM) and those with s-IBM-mimicking diseases. Methods: We compared the echo intensity (EI) of the flexor digitorum profundus (FDP) muscle and the flexor carpi ulnaris (FCU) muscles in patients with s-IBM (n = 6), polymyositis/dermatomyositis (PM/DM; n = 6), and amyotrophic lateral sclerosis (ALS; n = 6). Results: We identified EI abnormalities in 100% of patients with s-IBM, 33% of those with PM/DM, and 33% of those with ALS. An FDP-FCU echogenicity contrast, a US pattern involving a higher EI in the FDP than in the FCU, was observed in all patients with s-IBM, but in none of those with PM/DM or ALS. Conclusions: FDP-FCU echogenicity contrast in muscle US is a sensitive diagnostic indicator of s-IBM. Muscle Nerve49: 745-748, 2014

引用

页码：745 / 748

页数：4

共 10 条

[1] Intramuscular fibrous tissue determines muscle echo intensity in amyotrophic lateral sclerosis [J].

Arts, Ilse M. P. ;

Schelhaas, H. Jurgen ;

Verrijp, Kiek C. N. ;

Zwarts, Machiel J. ;

Overeem, Sebastiaan ;

van der Laak, Jeroen A. W. M. ;

Lammens, Martin M. Y. ;

Pillen, Sigrid .

MUSCLE & NERVE, 2012, 45 (03) :449-450

[2] INCLUSION BODY MYOSITIS (IBM) - MYOPATHY OR NEUROPATHY [J].

EISEN, A ;

BERRY, K ;

GIBSON, G .

NEUROLOGY, 1983, 33 (09) :1109-1114

[3] Inclusion-body myositis - Clinical, diagnostic, and pathologic aspects [J].

Engel, WK ;

Askanas, V .

NEUROLOGY, 2006, 66 :S20-S29

[4] ULTRASOUND IMAGING IN THE DIAGNOSIS OF MUSCLE DISEASE [J].

HECKMATT, JZ ;

LEEMAN, S ;

DUBOWITZ, V .

JOURNAL OF PEDIATRICS, 1982, 101 (05) :656-660

[5] ELECTROMYOGRAPHS OF THE FLEXOR DIGITORUM PROFUNDUS MUSCLE ARE USEFUL FOR THE DIAGNOSIS OF INCLUSION BODY MYOSITIS [J].

Hokkoku, Keiichi ;

Sonoo, Masahiro ;

Higashihara, Mana ;

Stalberg, Erik ;

Shimizu, Teruo .

MUSCLE & NERVE, 2012, 46 (02) :181-186

[6]

Hoogendijk Jessica E, 2004, Neuromuscul Disord, V14, P337, DOI 10.1016/j.nmd.2004.02.006

[7] Inclusion body myositis: current pathogenetic concepts and diagnostic and therapeutic approaches [J].

Needham, Merrilee ;

Mastaglia, Frank L. .

LANCET NEUROLOGY, 2007, 6 (07) :620-631

[8] Muscle ultrasound in neuromuscular disorders [J].

Pillen, Sigrid ;

Arts, Ilse M. P. ;

Zwarts, Machiel J. .

MUSCLE & NERVE, 2008, 37 (06) :679-693

[9] MUSCULAR ULTRASOUND IN IDIOPATHIC INFLAMMATORY MYOPATHIES OF ADULTS [J].

REIMERS, CD ;

FLECKENSTEIN, JL ;

WITT, TN ;

MULLERFELBER, W ;

PONGRATZ, DE .

JOURNAL OF THE NEUROLOGICAL SCIENCES, 1993, 116 (01) :82-92

[10] Magnetic resonance imaging of the forearm as a diagnostic aid in patients with sporadic inclusion body myositis [J].

Sekul, EA ;

Chow, C ;

Dalakas, MC .

NEUROLOGY, 1997, 48 (04) :863-866

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