Number of patients |
15 |
Age at biopsy (median) |
8 years |
range |
(3–17 years) |
female |
11 (73%) |
Skeletal muscle symptoms
|
14 (93%)
|
Myalgia |
11 (73%) |
Exercise induced myalgia |
6 (40%) |
Proximal weakness |
14 (93%) |
Skin symptoms
|
15/15 (100%)
|
Dry skin |
6 (40%) |
Exanthema |
3 (20%) |
Erythema |
4 (27%) |
Butterfly rash |
5 (33%) |
Redness, livid coloration |
8 (53%) |
Raynaud’s phenomenon |
1 (7%) |
Gottron’s papules |
8 (53%) |
Nail fold changes |
1 (7%) |
Calcinosis |
4 (27%) |
Accompanying symptoms
|
15/15 (100%)
|
Fever |
3 (20%) |
Difficulty swallowing |
1 (7%) |
Morning stiffness |
1 (7%) |
Arthritis |
1 (7%) |
Weight gain |
2 (13%) |
Weight loss |
1 (7%) |
Night sweat |
1 (7%) |
Oedema |
3 (20%) |
Lymphadenopathy |
1 (7%) |
Fatigue, concentration difficulties |
7 (47%) |
Loss of appetite/rejection to drink |
1 (7%) |
Sadness/mood slump/mood swings |
5 (33%) |
Social withdrawal |
3 (20%) |
Extramuscular symptoms
|
5/15 (33%)
|
Pulmonary restriction |
2 (13%) |
Pneumonia |
1 (7%) |
Cardial involvement |
4 (27%) |
Comorbidities
|
5/15 (33%)
|
Cystic fibrosis |
1 (7%) |
Factor-V-Leiden mutation |
1 (7%) |
Hypothyroidism |
1 (7%) |
Steatosis hepatis |
1 (7%) |
HLA-B27 enthesitis |
1 (7%) |
Laboratory results
|
15/15 (100%)
|
Creatine kinase (CK) ↑ |
14 (93%) |
Lactatdehydrogenase (LDH) ↑ |
11 (73%) |
GOT ↑ |
11 (73%) |
GPT ↑ |
7 (47%) |
Serum antibodies
|
|
Myositis-specific-antibodies (MSA)
|
6/12 (50%)
|
Anti-NXP-2 |
2 (17%) |
Anti-PL-7 |
2 (17%) |
Anti–Jo-1 |
2 (17%) |
Myositis-associated-antibodies (MAA)
|
2/12 (17%)
|
Anti-Ro52 |
1 (8%) |
PM75 |
1 (8%) |
Antinuclear antibodies (ANA)
|
9/13 (69%)
|
Systemic Lupus erythematodes (SLE)
|
|
Anti-double-stranded-DNA-antibodies (Anti-dsDNA) |
1 (8%) |
Smith-Antibodies (Anti-Sm/Sm-AK) |
1 (8%) |
Anti RNP/Sm-AK |
2 (17%) |
MRI skeletal muscle
|
11/15 (73%)
|
Normal |
2 (18%) |
Oedema |
6 (54%) |
Enhancement of contrast medium/signal alterations |
4 (36%) |
Compatible with myositis |
8 (73%) |
Musculoskeletal Ultrasound
|
9/15 (60%)
|
Oedema |
3 (33%) |
Enhancement of echogenicity/signal alterations |
6 (67%) |
Compatible with myositis |
6 (67%) |
Electromyography (EMG)
|
11/15 (73%)
|
Myopathic, compatible with myositis |
8 (72%) |
Unspecific sign |
3 (27%) |