Muscle disease Flashcards
What are the main presentations of muscle diseases
pain, weakness, stiffness, abnormal blood tests
What commonly presents with dermatomyositis and what does it affect
muscle weakness and its a cutaneous disease
Can you get a heliotrope rash with dermatomyositis
yup and also a shawl rash
Can it involve other organs?
yes- lungs, oesophageal, cardiac, systemic
There is a higher percentage of malignancy in dermatomyositis than in polymyositis
true
What investigations are used in poly/dermatomyositis
electromyography, muscle biopsy, MRI
What is inclusion body myositis
Weak wrists and fingers and ankles and toes and occurs in over 50s
What are manifestations of polymyalgia rheumatica
ache in shoulder and hip girdle, morning stiffness, symmetrical, reduced ROM
What is an important feature of temporal arteritis
headache
What is the treatment for polymyalgia rheumatica
low dose steroids (skin) - high dose steroid - gradual steroid reduction
Is fibromyalgia the commonest cause of chronic MSK pain?
Yes 100%
Fibromyalgia is associated with inflammation, true or false
false
Do symptoms get worse with exertion, fatigue and stress with fibromyalgia?
yes
Give a sign of fibromyalgia
unrefreshing sleep, pain in neck, shoulders, back and chest
How many tender points would indicate fibromyalgia
11/18
