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© 1994 British Society for Rheumatology

research-article

USEFUL INVESTIGATIONS IN A REFRACTORY CASE OF ‘MYOSITIS’

A. G. MacDONALD, W. BEHAN, A. S. HOLLMAN, R. D. STURROCK and M. FIELD

*Centre for Rheumatic Diseases, Glasgow Royal Infirmary, Department of Pathology, Western Infirmary Glasgow G312ER
{dagger}Department of Radiology, Royal Hospital for Sick Children Glasgow

The diagnosis of polymyositis is made on the basis of clinical features, muscle enzymes, EMG studies and muscle biopsy. Treatment requires corticosteroids often m combination with immunosuppressive agents, and relapse in spite of treatment may render management difficult. The case described below appeared to demonstrate features from which the diagnosis could be made, but in which the almost complete resistance to conventional therapy led to a correct reappraisal of the diagnosis. This illustrates an unusual cause for diagnostic confusion and the value of diagnosis reassessment under such circumstances.

KEY WORDS: Myositis, Creatine phosphokinase, Ultrasound, Muscular dystrophy


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