Inclusion body myositis: current pathogenetic concepts and diagnostic and therapeutic approaches

被引:177
作者
Needham, Merrilee [1 ]
Mastaglia, Frank L. [1 ]
机构
[1] Univ Western Australia, Ctr Neuromuscular & Neurol Disorders, Queen Elizabeth II Med Ctr, Perth, WA 6009, Australia
基金
英国医学研究理事会;
关键词
D O I
10.1016/S1474-4422(07)70171-0
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Inclusion body myositis is the most common acquired muscle disease in older individuals, and its prevalence varies among countries and ethnic groups. The aetiology and pathogenesis of sporadic inclusion body myositis are still poorly understood; however genetic factors, ageing, and environmental triggers might all have a role. Unlike other inflammatory myopathies, sporadic inclusion body myositis causes slowly progressing muscular weakness and atrophy, it has a distinctive pattern of muscle involvement, and is unresponsive to conventional forms of immunotherapy. This review covers the clinical presentation, diagnosis, treatment, and the latest information on genetic susceptibility and pathogenesis of sporadic inclusion body myositis.
引用
收藏
页码:620 / 631
页数:12
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