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CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2022; 12(03): 333-335
DOI: 10.1055/s-0041-1739230
Case Report

A Rare Case of Sporadic Inclusion Body Myositis with Atypical Presentation

Manokaran Chinnusamy
1   Department of General Medicine, Sri Manakula Vinayagar Medical College and Hospital, Madagadipet, Kalitheerthalkuppam, Pondicherry, India
,
Sathiyanarayanan Janakiraman
1   Department of General Medicine, Sri Manakula Vinayagar Medical College and Hospital, Madagadipet, Kalitheerthalkuppam, Pondicherry, India
,
Ramesh Bala Arivazhagan
1   Department of General Medicine, Sri Manakula Vinayagar Medical College and Hospital, Madagadipet, Kalitheerthalkuppam, Pondicherry, India
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Abstract

Sporadic inclusion body myositis (IBM) is the most common acquired inflammatory myopathy that occurs after the age of 50 years. IBM typically involves wrist and finger flexors and quadriceps, but all sporadic IBM may not have the classic presentation of distal arm and proximal leg involvement. Treating physicians must be aware of this atypical presentation to avoid the misdiagnosis of IBM, leading to treatment with immunosuppressive agents. The aim of this study is to increase the awareness among physicians about the atypical presentation of IBM and to emphasize the importance of muscle biopsy in such cases. Here we report a case of 52 years old male diagnosed with sporadic IBM by muscle biopsy presented with atypical presentation.

Keywords

sporadic inclusion body myositis - endomysial lymphonuclear infiltrates - rimmed vacuoles - fat infiltration - creatine kinase


Publication History

Article published online:
22 November 2021

© 2021. Nitte (Deemed to be University). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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