Camptocormia as a clinical manifestation of polymyositis/systemic sclerosis overlap myositis associated with anti-Ku

作者: Thierry Zenone , Nathalie Streichenberger , Marie Puget

DOI: 10.1007/S00296-012-2412-6

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摘要: Camptocormia, an abnormal truncal flexion posture that occurs while walking or standing, is usually caused by various hypokinetic movement disorders, mainly Parkinson disease. We describe the case of a man with subacute onset camptocormia. Quadriceps muscle biopsy showed significant rhabdomyolysis, few isolated inflammatory cells and mild expression type I MHC in fibers, pattern found immune-mediated necrotizing myopathies. Myositis was associated Raynaud’s phenomenon, sclerodactyly, anti-Ku antibodies leading to diagnosis polymyositis/systemic sclerosis overlap myositis. The modest improvement response treatment.

参考文章(15)
I Cavazzana, A Ceribelli, M Quinzanini, M Scarsi, P Airò, R Cattaneo, F Franceschini, Prevalence and clinical associations of anti-Ku antibodies in systemic autoimmune diseases: Lupus. ,vol. 17, pp. 727- 732 ,(2008) , 10.1177/0961203308089442
Martial Koenig, Marvin J Fritzler, Ira N Targoff, Yves Troyanov, Jean-Luc Senécal, None, Heterogeneity of autoantibodies in 100 patients with autoimmune myositis: insights into clinical features and outcomes. Arthritis Research & Therapy. ,vol. 9, pp. 1- 13 ,(2007) , 10.1186/AR2276
Yves Troyanov, Ira N. Targoff, Jean-Luc Tremblay, Jean-Richard Goulet, Yves Raymond, Jean-Luc Senécal, Novel classification of idiopathic inflammatory myopathies based on overlap syndrome features and autoantibodies: analysis of 100 French Canadian patients. Medicine. ,vol. 84, pp. 231- 249 ,(2005) , 10.1097/01.MD.0000173991.74008.B0
C. Belizna, D. Henrion, A. Beucher, C. Lavigne, A. Ghaali, H. Lévesque, Anti-Ku antibodies: Clinical, genetic and diagnostic insights. Autoimmunity Reviews. ,vol. 9, pp. 691- 694 ,(2010) , 10.1016/J.AUTREV.2010.05.020
Sheng-Han KUO, Mithila Vullaganti, Joohi Jimenez-Shahed, Justin Y. Kwan, CAMPTOCORMIA AS A PRESENTATION OF GENERALIZED INFLAMMATORY MYOPATHY Muscle & Nerve. ,vol. 40, pp. 1059- 1063 ,(2009) , 10.1002/MUS.21403
Justin Dominick, Geoffrey Sheean, Jonathan Schleimer, Christopher Wixom, Response of the dropped head/bent spine syndrome to treatment with intravenous immunoglobulin. Muscle & Nerve. ,vol. 33, pp. 824- 826 ,(2006) , 10.1002/MUS.20506
Michel Laroche, Pascal Cintas, Bent spine syndrome (camptocormia): a retrospective study of 63 patients. Joint Bone Spine. ,vol. 77, pp. 593- 596 ,(2010) , 10.1016/J.JBSPIN.2010.05.012
Arada Rojana-Udomsart, Vicki Fabian, Peter N Hollingsworth, Susan E Walters, Paul J Zilko, Frank L Mastaglia, Paraspinal and Scapular Myopathy Associated With Scleroderma Journal of Clinical Neuromuscular Disease. ,vol. 11, pp. 213- 222 ,(2010) , 10.1097/CND.0B013E3181C139F6
Jean Sibilia, Emmanuel Chatelus, Alain Meyer, Jacques-Eric Gottenberg, Christelle Sordet, Joëlle Goetz, Comment faire le diagnostic et mieux comprendre les myopathies inflammatoires ? L’utilité des auto-anticorps Presse Medicale. ,vol. 39, pp. 1010- 1025 ,(2010) , 10.1016/J.LPM.2010.06.008
P Seror, M Krahn, P Laforet, F Leturcq, T Maisonobe, None, Complete fatty degeneration of lumbar erector spinae muscles caused by a primary dysferlinopathy Muscle & Nerve. ,vol. 37, pp. 410- 414 ,(2008) , 10.1002/MUS.20910