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. 1984 Jan 1;130(1):47–49.

Diaphragmatic weakness and myositis associated with systemic juvenile rheumatoid arthritis.

J F Braidy, J M Poulson
PMCID: PMC1875683  PMID: 6689990

Abstract

An unusual presentation of systemic juvenile rheumatoid arthritis in a young adult is reported. Among the major manifestations were severe muscle weakness and dyspnea, which were found to be due to myositis and diaphragmatic weakness. The evolution of the disease and its response to therapy are described.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Baracos V., Rodemann H. P., Dinarello C. A., Goldberg A. L. Stimulation of muscle protein degradation and prostaglandin E2 release by leukocytic pyrogen (interleukin-1). A mechanism for the increased degradation of muscle proteins during fever. N Engl J Med. 1983 Mar 10;308(10):553–558. doi: 10.1056/NEJM198303103081002. [DOI] [PubMed] [Google Scholar]
  2. Black L. F., Hyatt R. E. Maximal respiratory pressures: normal values and relationship to age and sex. Am Rev Respir Dis. 1969 May;99(5):696–702. doi: 10.1164/arrd.1969.99.5.696. [DOI] [PubMed] [Google Scholar]
  3. Bohan A., Peter J. B. Polymyositis and dermatomyositis (first of two parts). N Engl J Med. 1975 Feb 13;292(7):344–347. doi: 10.1056/NEJM197502132920706. [DOI] [PubMed] [Google Scholar]
  4. Bujak J. S., Aptekar R. G., Decker J. L., Wolff S. M. Juvenile rheumatoid arthritis presenting in the adult as fever of unknown origin. Medicine (Baltimore) 1973 Sep;52(5):431–444. doi: 10.1097/00005792-197309000-00007. [DOI] [PubMed] [Google Scholar]
  5. Derenne J. P., Macklem P. T., Roussos C. The respiratory muscles: mechanics, control, and pathophysiology. Part III. Am Rev Respir Dis. 1978 Sep;118(3):581–601. doi: 10.1164/arrd.1978.118.3.581. [DOI] [PubMed] [Google Scholar]
  6. Esdaile J. M., Tannenbaum H., Hawkins D. Adult Still's disease. Am J Med. 1980 Jun;68(6):825–830. doi: 10.1016/0002-9343(80)90201-6. [DOI] [PubMed] [Google Scholar]
  7. Esdaile J. M., Tannenbaum H., Lough J., Hawkins D. Hepatic abnormalities in adult onset Still's disease. J Rheumatol. 1979 Nov-Dec;6(6):673–679. [PubMed] [Google Scholar]
  8. Gibson C. J., Edmonds J. P., Hughes G. R. Diaphragm function and lung involvement in systemic lupus erythematosus. Am J Med. 1977 Dec;63(6):926–932. doi: 10.1016/0002-9343(77)90547-2. [DOI] [PubMed] [Google Scholar]
  9. Gibson G. J., Clark E., Pride N. B. Static transdiaphragmatic pressures in normal subjects and in patients with chronic hyperinflation. Am Rev Respir Dis. 1981 Dec;124(6):685–689. doi: 10.1164/arrd.1981.124.6.685. [DOI] [PubMed] [Google Scholar]
  10. HOFFBRAND B. I., BECK E. R. "UNEXPLAINED" DYSPNOEA AND SHRINKING LUNGS IN SYSTEMIC LUPUS ERYTHEMATOSUS. Br Med J. 1965 May 15;1(5445):1273–1277. doi: 10.1136/bmj.1.5445.1273. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Loh L., Goldman M., Davis J. N. The assessment of diaphragm function. Medicine (Baltimore) 1977 Mar;56(2):165–169. doi: 10.1097/00005792-197703000-00006. [DOI] [PubMed] [Google Scholar]

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