Journal article
Inclusion body myositis: A review of clinical and genetic aspects, diagnostic criteria and therapeutic approaches
Journal of Clinical Neuroscience, Vol.22(1), pp.6-13
2015
Abstract
Inclusion body myositis is the most common myopathy in patients over the age of 40 years encountered in neurological practice. Although it is usually sporadic, there is increasing awareness of the influence of genetic factors on disease susceptibility and clinical phenotype. The diagnosis is based on recognition of the distinctive pattern of muscle involvement and temporal profile of the disease, and the combination of inflammatory and myodegenerative changes and protein deposits in the muscle biopsy. The diagnostic importance of immunohistochemical staining for major histocompatibility complex I and II antigens, for the p62 protein, and of the recently identified anti-cN1A autoantibody in the serum, are discussed. The condition is generally poorly responsive to conventional immune therapies but there have been relatively few randomised controlled trials and most of these have been under-powered and of short duration. There is an urgent need for further well-designed multicentre trials of existing and novel therapies that may alter the natural history of the disease.
Details
- Title
- Inclusion body myositis: A review of clinical and genetic aspects, diagnostic criteria and therapeutic approaches
- Authors/Creators
- F.L. Mastaglia (Author/Creator)M. Needham (Author/Creator)
- Publication Details
- Journal of Clinical Neuroscience, Vol.22(1), pp.6-13
- Publisher
- Churchill Livingstone
- Identifiers
- 991005543484007891
- Copyright
- © 2014 Elsevier Ltd.
- Murdoch Affiliation
- Institute for Immunology and Infectious Diseases
- Language
- English
- Resource Type
- Journal article
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- Collaboration types
- Domestic collaboration
- Citation topics
- 1 Clinical & Life Sciences
- 1.106 Rheumatology
- 1.106.1684 Dermatomyositis
- Web Of Science research areas
- Clinical Neurology
- Neurosciences
- ESI research areas
- Neuroscience & Behavior