Immune-Mediated Necrotizing Myopathy
Conditions
Keywords
Autoimmune necrotizing myopathy, anti-HMGCR antibodies, anti-SRP antibodies
Brief summary
Autoimmune necrotizing myopathies (AINM) in adult patients are characterized by severity of muscle damage, presence of necrosis with little inflammation on muscle biopsy and anti-HMGCR or anti-SRP auto-antibodies. Data on AINM in children are currently lacking. The purpose of this study is to specify the characteristics at AINM diagnosis, treatments and evolution of juvenile AINM with anti-HMGCR or anti-SRP antibodies.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* AINM histologically proved by predominant muscle fibers necrosis lesions associated with minimal or absent inflammatory lesions * Either anti-SRP or anti-HMGCR antibodies positivity * Disease onset before age 18
Exclusion criteria
* Seronegative necrotizing myopathies * Forms compatible with another type of myositis (e.g. dermatomyositis)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Type of muscle involvment | At diagnosis | Proximal or distal or axial muscle involvement by muscle testing |
| Type of cutaneous involvment | At diagnosis | Rash or Gottron lesions |
| Other clinical manifestations | At diagnosis | Dysphagia or dyspnea or fever or interstitial lung involvement or articular involvement or gastrointestinal involvment |
| Blood CK level | At diagnosis | Blood CK level |
| Histology | At diagnosis | Results of muscle biopsy : necrosis |
| MMT score | At diagnosis | MMT score |
| CMAS score | At diagnosis | CMAS score |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Blood CK level | At last visit | Blood CK level |
| Type of drugs used | At last visit | Drugs ever used : name and duration |
| MMT score | At last visit | MMT score |
| CMAS score | At last visit | CMAS score |
| Iatrogenic complications | At last visit | Infectious complications |
| Status of the disease at last visit | At last visit | Status of the disease at last visit : active or remission or death |
| Number of relapses | At last visit | Number of relapses |
| Type of muscle involvment | At last visit | Proximal or distal or axial muscle involvement by muscle testing |
| Type of cutaneous involvment | At last visit | Rash or Gottron lesions |
| Other clinical manifestations | At last visit | Dysphagia or dyspnea or fever or interstitial lung involvement or articular involvement or gastrointestinal involvment |
Countries
France