© 2002 by Annals of the Rheumatic Diseases
LESSON OF THE MONTH
Polymyositis as a cause of total gut failure
Series editor: Anthony D Woolf
1 Department of Gastroenterology, Selly Oak Hospital, Raddlebarn Road, Birmingham B29 6JD, UK
2 Department of Rheumatology, Selly Oak Hospital
Correspondence to:
Correspondence to:
Dr E Rankin, Department of Rheumatology, Selly Oak Hospital, Raddlebarn Road, Birmingham B29 6JD, UK
Background: Gastrointestinal manifestations are seen in systemic sclerosis and mixed connective tissue disorders but are rare in pure polymyositis.
Case report: A 44 year old woman with polymyositis who developed total gut failure requiring treatment with total parenteral nutrition is described.
Results: The patient's polymyositis is now fully controlled biochemically, but her gastrointestinal symptoms persist.
Keywords: polymyositis; gut failure
Abbreviations: BMI, body mass index; CK, creatine kinase; GI, gastrointestinal; TPN, total parenteral nutrition
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