Abstract

OBANDO-VALENCIA, Cristian Reinaldo  and  MERCHAN-GALVIS, Ángela María. Polymyositis: evolution of 4-years and agudizacion in 2019, male case in Popayán, Cauca. Medicas UIS [online]. 2022, vol.35, n.1, pp.49-56.  Epub May 28, 2022. ISSN 0121-0319.  https://doi.org/10.18273/revmed.v35n1-2022005.

Polymyositis is an autoimmune myopathy and each year it causes 4 cases per million in the worldwide population, it is clinically diagnosed and needs rapid and aggressive treatment because it can lead to fatal outcomes. This pathology is infrequent in men, with a proportion women/men 2.5:1, the objective of the article was to describe and compare with the literature the case of a male patient with polymyositis, who presented with muscle weakness and polyarticular pain of 20 days of evolution, with Creatine kinase values of 24,000 IU/L, associated with weight loss, and responding adequately to the medical treatment provided at the time. After 3 years asymptomatic, he suffered an acute phase that was managed with first-line medications but without improvement, for which he required oral methylprednisolone at high doses and inmunomodulators. At no time did he present vital organ involvement, he is currently symptomatic and is under medical management. MÉD.UIS.2022;35(1):49-56.

Keywords : Polymyositis; Rheumatology; Muscular weakness; Autoimmune disease; Creatine kinase.

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