Document Detail


Myocarditis as a complication in scleroderma patients with myositis.
MedLine Citation:
PMID:  8168276     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This report describes six diffuse scleroderma (PSS) patients with skeletal muscle myositis accompanied by severe myocarditis, diagnosed by CPK-MB elevation in conjunction with severe left ventricular (LV) hypokinesis. Although the myositis improved with steroid therapy in all patients, those treated with steroids alone died due to progressive LV failure. This experience suggests that the LV dysfunction in PSS patients with myositis may have an inflammatory component. Since the myocarditis may not be clinically apparent initially, it is suggested that CPK-MB fractionation and studies of LV function are undertaken in all PSS patients with myositis. The optimal treatment of this disorder, however, has yet to be determined.
Authors:
L D Kerr; H Spiera
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Clinical cardiology     Volume:  16     ISSN:  0160-9289     ISO Abbreviation:  Clin Cardiol     Publication Date:  1993 Dec 
Date Detail:
Created Date:  1994-06-01     Completed Date:  1994-06-01     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7903272     Medline TA:  Clin Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  895-9     Citation Subset:  IM    
Affiliation:
Mount Sinai School of Medicine, Division of Rheumatology, New York, New York 10029.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Biopsy
Clinical Enzyme Tests
Creatine Kinase / blood
Female
Humans
Isoenzymes
Middle Aged
Myocarditis / diagnosis,  etiology*,  pathology
Myocardium / pathology
Myositis / complications*
Scleroderma, Systemic / complications*
Chemical
Reg. No./Substance:
0/Isoenzymes; EC 2.7.3.2/Creatine Kinase

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


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