A Case of Flaccid Quadriparesis
Inclusion body myositis (IBM) is the most common inflammatory myopathy above the age of 50 years and three times more common in males than females. It presents as a distal more than proximal myopathy and has an indolent progressive course. Despite the latest advancements, it is challenging to diagno...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | Indian Journal of Medical Specialities |
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| Online Access: | https://journals.lww.com/10.4103/INJMS.INJMS_14_18 |
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| author | Kashish Gupta Subhash Kumar Narendra Bishnoi Mayank Gupta Sunil Kumar Mahavar Raman Sharma |
| author_facet | Kashish Gupta Subhash Kumar Narendra Bishnoi Mayank Gupta Sunil Kumar Mahavar Raman Sharma |
| author_sort | Kashish Gupta |
| collection | DOAJ |
| description | Inclusion body myositis (IBM) is the most common inflammatory myopathy above the age of 50 years and three times more common in males than females. It presents as a distal more than proximal myopathy and has an indolent progressive course. Despite the latest advancements, it is challenging to diagnose this disease as it may resemble amyotrophic lateral sclerosis (ALS) clinically and polymyositis histopathologically. What sets it apart from the other myopathies is the fact that it has a very poor response to standard therapies of steroids and immunosuppressants. We present a case of a 30-year-old female patient presenting with relatively rapid onset of quadriparesis and dysphagia which was ultimately diagnosed with IBM. This case report attempts to highlight the difficulties in diagnosing this rare disease and the limited modalities of treatment. |
| format | Article |
| id | doaj-art-e8cb004128f84bb4a0258f53c85ddf2c |
| institution | Kabale University |
| issn | 0976-2884 0976-2892 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Medical Specialities |
| spelling | doaj-art-e8cb004128f84bb4a0258f53c85ddf2c2025-08-25T08:30:49ZengWolters Kluwer Medknow PublicationsIndian Journal of Medical Specialities0976-28840976-28922019-01-01101454710.4103/INJMS.INJMS_14_18A Case of Flaccid QuadriparesisKashish GuptaSubhash KumarNarendra BishnoiMayank GuptaSunil Kumar MahavarRaman SharmaInclusion body myositis (IBM) is the most common inflammatory myopathy above the age of 50 years and three times more common in males than females. It presents as a distal more than proximal myopathy and has an indolent progressive course. Despite the latest advancements, it is challenging to diagnose this disease as it may resemble amyotrophic lateral sclerosis (ALS) clinically and polymyositis histopathologically. What sets it apart from the other myopathies is the fact that it has a very poor response to standard therapies of steroids and immunosuppressants. We present a case of a 30-year-old female patient presenting with relatively rapid onset of quadriparesis and dysphagia which was ultimately diagnosed with IBM. This case report attempts to highlight the difficulties in diagnosing this rare disease and the limited modalities of treatment.https://journals.lww.com/10.4103/INJMS.INJMS_14_18inclusion body myositisinflammatory myopathyquadriparesis |
| spellingShingle | Kashish Gupta Subhash Kumar Narendra Bishnoi Mayank Gupta Sunil Kumar Mahavar Raman Sharma A Case of Flaccid Quadriparesis Indian Journal of Medical Specialities inclusion body myositis inflammatory myopathy quadriparesis |
| title | A Case of Flaccid Quadriparesis |
| title_full | A Case of Flaccid Quadriparesis |
| title_fullStr | A Case of Flaccid Quadriparesis |
| title_full_unstemmed | A Case of Flaccid Quadriparesis |
| title_short | A Case of Flaccid Quadriparesis |
| title_sort | case of flaccid quadriparesis |
| topic | inclusion body myositis inflammatory myopathy quadriparesis |
| url | https://journals.lww.com/10.4103/INJMS.INJMS_14_18 |
| work_keys_str_mv | AT kashishgupta acaseofflaccidquadriparesis AT subhashkumar acaseofflaccidquadriparesis AT narendrabishnoi acaseofflaccidquadriparesis AT mayankgupta acaseofflaccidquadriparesis AT sunilkumarmahavar acaseofflaccidquadriparesis AT ramansharma acaseofflaccidquadriparesis AT kashishgupta caseofflaccidquadriparesis AT subhashkumar caseofflaccidquadriparesis AT narendrabishnoi caseofflaccidquadriparesis AT mayankgupta caseofflaccidquadriparesis AT sunilkumarmahavar caseofflaccidquadriparesis AT ramansharma caseofflaccidquadriparesis |