Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918

This article has now been updated. Please use the final version.

Refractory Myositis Affecting the Intrinsic Muscles of the Hand: A Case Report
Kosei NakamuraAkihiro SugaiEtsuji SajiKensaku KasugaOsamu Onodera
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JOURNAL OPEN ACCESS Advance online publication

Article ID: 3773-19

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Abstract

Myositis generally affects the proximal muscles. However, we herein report a case of a 48-year-old woman with intractable myositis affecting the intrinsic muscles of the hands. Her myositis, which developed in childhood, was refractory to treatment with steroids and several immunosuppressants, causing walking disability. After experiencing pain and swelling in the hands for six months, she was diagnosed with myositis of the intrinsic muscles of the hands and tested positive for the anti-signal recognition particle antibody. Intravenous immunoglobulin therapy improved the myositis of the hands. This case suggests that inflammation caused by intractable myositis can extend to the hands.

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© 2020 by The Japanese Society of Internal Medicine
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