000			02138nam a22002537a 4500
999			_c12545 _d12545
001			MED 2022 0002
003			PILC
005			20240720153317.0
008			230608b xxu||||| |||| 00| 0 eng d
040			_beng _cFEU-NRMF MEDICAL LIBRARY _erda
041			_aenglish
050			_aMED 2022 0002
245			_aA Rare case of polymyositis with unremitting pain and progressive loss of motor function / _cChristina Dawn M. Daguipa.
260			_aFairview, Quezon City: _bDepartment of Internal Medicine, FEU-NRMF, _c2022.
300			_btables; _c(in folder) _ewith flash drive (soft copy).
336			_2rdacontent _atext
337			_2rdamedia _aunmediated
338			_2rdacarrier _avolume
504			_aIncludes appendices and bibliographical references.
520			_aAbstract: Polymyositis is an inflammatory myopathy induced by chronic inflammation in skeletal muscles may present with generalized body weakness usually associated with proximal muscle weakness and myalgia. This is a case of an elderly male presenting with generalized body weakness, limb pain, difficulty in mobilization, with progressive loss of motor function. Laboratory investigations revealed a massive elevation of creatine kinase, EMG and muscle biopsy are consistent with polymyositis. The patient was treated with corticosteroids, intravenous immunoglobulin and intensive rehabilitation therapy. He made a good recovery and was discharged on Methylprednisolone, Methotrexate and Folic Acid. In the context of uncontrolled diabetes mellitus, unexplained muscle pain, numbness and weakness, unresponsive to conventional treatment in the presence of normal hemoglobin, further work up must be done to rule out autoimmune phenomena. Key factors to come up with a diagnosis are an autoimmune screening ang early discussion with a rheumatologist. To present the disease course of a 68 years old male newly diagnosed with polymyositis with concomitant uncontrolled diabetes mellitus. To discuss the diagnostic approach and management in patients with polymyositis.
521			_aRESDM
700			_aDaguipa, Christina Dawn M. _eauthor
942			_2lcc _cRU