polymyositis, adult…

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superficial anterior muscles, polymyositis, systemic connective tissue disease characterized by inflammation, degeneration, the muscles, thought that an autoimmune reaction, a viral infection, the skeletal muscle, affect people at any age, most commonly occurs in those between 50, 70 years old, in children between 5, 15 years old, affects women twice, men, muscle weakness, appear suddenly, occur slowly over weeks, difficulty raising the arms over the head, rising, a sitting position, climbing stairs, voice affected, weakness, the throat muscles, joint pain, inflammation, the heart, lung disease, a similar condition, dermatomyositis, evident, a dusky, red rash appears over the face, neck, shoulders, upper chest, a malignancy associated, each year, between 2 and 10 people per million develop the disease, muscle weakness, proximal muscles, shoulders, hips, muscle pain, difficulty swallowing, shortness of breath, hand tremor, electromyography, mri of affected muscles, muscle biopsy, serum creatinine, elevated, serum aldolase, elevated, cpk, elevated, disease is treated, corticosteroid medications, an improvement in muscle strength is achieved, in 4 to 6 weeks, medication is slowly tapered off, maintenance therapy, prednisone continued indefinitely, in people who fail, corticosteroids, medications to suppress the immune system used, condition is associated, a tumor, improve tumor is removed, remission, a period, no symptoms, recovery occur in many patients, children, most others, immunosuppressant drugs, control the disease, in adults, death, result from severe, prolonged muscle weakness, malnutrition, pneumonia, respiratory failure, probable outcome, chest involvement, associated malignancy, heart disease, lung disease, abdominal complications, calcium deposits, in the affected muscles, in children, symptoms of this disorder occur, shortness of breath, difficulty swallowing, indicate an urgent need, treatment.