Polymyositis: Clinical Features, Diagnosis and Associations
Classified in Biology
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Clinical Characteristics of Polymyositis
Myopathic Weakness
Myopathic weakness evolves over weeks to months, typically sparing the facial and eye muscles. It presents as difficulty in:
- climbing steps
- rising from a chair
- lifting objects
- combing hair
Disease Onset
Typically occurs above the age of 18 years.
Features the Patient Does Not Have
The following features are not characteristic of polymyositis in the typical presentation:
- Rash (characteristic of dermatomyositis)
- Family history of neuromuscular diseases
- Exposure to myotoxic drugs, especially penicillamine26, zidovudine27, and (rarely) statins28,29
- Endocrine disease (hypothyroidism, hyperthyroidism, hypoparathyroidism, hypercortisolism)
Excluded Conditions
- Neurogenic disease (excluded by electromyography