The geoepidemiology of autoimmune muscle disease.

Abstract:

:Dermatomyositis (DM), polymyositis (PM), and sporadic inclusion-body myositis (sIBM) constitute a heterogeneous group of subacute or chronic acquired skeletal muscle diseases. Known as idiopathic inflammatory myopathies (IIM), they all share the presence of considerable weakness due to muscle inflammation and necrosis. Diagnosis is based on clinical findings, confirmed by laboratory examinations (serum muscle enzyme concentrations, autoantibodies against nuclear or cytoplasmatic antigens, electromyography, and muscle biopsy). Environmental exposures leading to immune activation in genetically susceptible individuals seem to be a probable pathogenic mechanism. Infectious agents, drugs, and ultraviolet radiation have been identified as a cause of the onset, exacerbation, or acceleration of these myopathies. Several case reports and population studies have been reported to support the relationship between inflammatory myopathy and the environment. Moreover, seasonal patterns of the onset of IIM have frequently been reported.

journal_name

Autoimmun Rev

journal_title

Autoimmunity reviews

authors

Prieto S,Grau JM

doi

10.1016/j.autrev.2009.11.006

subject

Has Abstract

pub_date

2010-03-01 00:00:00

pages

A330-4

issue

5

eissn

1568-9972

issn

1873-0183

pii

S1568-9972(09)00184-0

journal_volume

9

pub_type

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