Necrotizing autoimmune myopathy: Muscle weakness due to atorvastatin
Statins are medications with great use. One of the side effects of medications is myopathy. In some case, statins switch on, a process of autoimmune system which will not terminate with discontinuation of statins. Necrotizing autoimmune myopathy (NAM) is a subgroup of inflammatory myopathies charact...
Main Authors: | , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wolters Kluwer Medknow Publications
2018-01-01
|
Series: | Journal of Nursing and Midwifery Sciences |
Subjects: | |
Online Access: | http://www.jnmsjournal.org/article.asp?issn=2345-5756;year=2018;volume=5;issue=2;spage=74;epage=77;aulast=Pakdel |
id |
doaj-50c2c966d45f475cb48ea2ec0f860910 |
---|---|
record_format |
Article |
spelling |
doaj-50c2c966d45f475cb48ea2ec0f8609102020-11-25T03:34:09ZengWolters Kluwer Medknow PublicationsJournal of Nursing and Midwifery Sciences2345-57642018-01-0152747710.4103/JNMS.JNMS_17_18Necrotizing autoimmune myopathy: Muscle weakness due to atorvastatinLeila PakdelJila GanjiStatins are medications with great use. One of the side effects of medications is myopathy. In some case, statins switch on, a process of autoimmune system which will not terminate with discontinuation of statins. Necrotizing autoimmune myopathy (NAM) is a subgroup of inflammatory myopathies characterized pathologically by necrotic muscle fibers with absent or minimal inflammation. The purpose of this study was to describe NAM in a patient undergoing treatment with atorvastatin for an extended period, diagnosis of the disease process, treatment, and resolution of symptoms. The case presented in this paper is about 72-year-old woman who showed continued general weakness even though she stopped taking atorvastatin. This patient also had elevated creatine kinase and aldolase. Myopathy confirmed by muscle biopsy. She was treated with intravenous immune globulin (IVIG) and pulse of methyl prednisolone and followed with high dose of steroid and azathioprine. Our case report illustrates the importance of early recognition of NAM and that the treatment with immediately administer IVIG, pulse of methylprednisolone, and high dose of steroid can result in complete recovery.http://www.jnmsjournal.org/article.asp?issn=2345-5756;year=2018;volume=5;issue=2;spage=74;epage=77;aulast=Pakdelatorvastatinautoimmune myopathynecrosis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Leila Pakdel Jila Ganji |
spellingShingle |
Leila Pakdel Jila Ganji Necrotizing autoimmune myopathy: Muscle weakness due to atorvastatin Journal of Nursing and Midwifery Sciences atorvastatin autoimmune myopathy necrosis |
author_facet |
Leila Pakdel Jila Ganji |
author_sort |
Leila Pakdel |
title |
Necrotizing autoimmune myopathy: Muscle weakness due to atorvastatin |
title_short |
Necrotizing autoimmune myopathy: Muscle weakness due to atorvastatin |
title_full |
Necrotizing autoimmune myopathy: Muscle weakness due to atorvastatin |
title_fullStr |
Necrotizing autoimmune myopathy: Muscle weakness due to atorvastatin |
title_full_unstemmed |
Necrotizing autoimmune myopathy: Muscle weakness due to atorvastatin |
title_sort |
necrotizing autoimmune myopathy: muscle weakness due to atorvastatin |
publisher |
Wolters Kluwer Medknow Publications |
series |
Journal of Nursing and Midwifery Sciences |
issn |
2345-5764 |
publishDate |
2018-01-01 |
description |
Statins are medications with great use. One of the side effects of medications is myopathy. In some case, statins switch on, a process of autoimmune system which will not terminate with discontinuation of statins. Necrotizing autoimmune myopathy (NAM) is a subgroup of inflammatory myopathies characterized pathologically by necrotic muscle fibers with absent or minimal inflammation. The purpose of this study was to describe NAM in a patient undergoing treatment with atorvastatin for an extended period, diagnosis of the disease process, treatment, and resolution of symptoms. The case presented in this paper is about 72-year-old woman who showed continued general weakness even though she stopped taking atorvastatin. This patient also had elevated creatine kinase and aldolase. Myopathy confirmed by muscle biopsy. She was treated with intravenous immune globulin (IVIG) and pulse of methyl prednisolone and followed with high dose of steroid and azathioprine. Our case report illustrates the importance of early recognition of NAM and that the treatment with immediately administer IVIG, pulse of methylprednisolone, and high dose of steroid can result in complete recovery. |
topic |
atorvastatin autoimmune myopathy necrosis |
url |
http://www.jnmsjournal.org/article.asp?issn=2345-5756;year=2018;volume=5;issue=2;spage=74;epage=77;aulast=Pakdel |
work_keys_str_mv |
AT leilapakdel necrotizingautoimmunemyopathymuscleweaknessduetoatorvastatin AT jilaganji necrotizingautoimmunemyopathymuscleweaknessduetoatorvastatin |
_version_ |
1724560289197719552 |