© 2002 by Annals of the Rheumatic Diseases
LESSON OF THE MONTH
A case of weak muscles
Series editor: Anthony D Woolf
1 Department of Rheumatology, Northwick Park and St Mark's Hospitals, Watford Road, Harrow HA1 3UJ, UK
2 Department of Gastroenterology, Northwick Park and St Mark's Hospitals
3 Department of Pathology, Northwick Park and St Mark's Hospitals
4 Barnet General Hospital, Wellhouse Lane, Barnet EN5 3DJ, UK
Correspondence to:
Correspondence to:
Dr Higgens;
c.higgens{at}ic.ac.uk
Background: Gut involvement in inflammatory myositis is rare but causes significant morbidity and mortality.
Case report: A case of eosinophilic gastroenteritis and polymyositis occurring in the same patient is described. The interface of visceral and striated muscle involvement is discussed. The pathophysiology of eosinophilic gastroenteritis and the spectrum of gastrointestinal involvement in inflammatory myositis are also discussed.
Results: Both gastrointestinal and skeletal muscle symptoms improved with immunosuppression, suggesting a possible common underlying mechanism.
Keywords: muscles; polymyositis; gastroenteritis
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