Document Detail


Articular manifestations of polymyositis and dermatomyositis.
MedLine Citation:
PMID:  463935     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Nine patients with polymyositis or dermatomyositis associated with arthritis without antinuclear antibodies have been studied. In eight patients a mildly inflammatory nonerosive arthritis occurred coincident with early manifestations or before the appearance of symptomatic muscle disease. Hands, wrists and knees were prominently involved. This arthritis responded to corticosteroids given for the myositis. One patient had erosive arthritis and periarticular calcifications associated with acute inflammation that seemed to diminish with colchicine therapy. Synovial biopsy specimens showed surface fibrin deposition, focal loss of lining cells and mild inflammation--findings similar to those in scleroderma. By electron microscopy tubuloreticular structures were found in vascular endothelium in synovium, as in other tissues in polymyositis. All patients surprisingly had pulmonary manifestations suggesting the possibility that the condition in this group of patients may represent a distinctive subset of polymyositis.
Authors:
H R Schumacher; B Schimmer; G V Gordon; M A Bookspan; S Brogadir; B B Dorwart
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The American journal of medicine     Volume:  67     ISSN:  0002-9343     ISO Abbreviation:  Am. J. Med.     Publication Date:  1979 Aug 
Date Detail:
Created Date:  1979-09-25     Completed Date:  1979-09-25     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0267200     Medline TA:  Am J Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  287-92     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Arthritis / etiology*
Biopsy
Dermatomyositis / complications,  diagnosis*
Female
Humans
Male
Middle Aged
Myositis / complications,  diagnosis*
Synovial Fluid / analysis
Synovial Membrane / pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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