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[Histological data in inflammatory myositis].
[focal myositis]
Inflammatory
muscular
diseases
of
adult
and
child
consist
of
dermatomyositis
(
DM
)
,
polymyositis
(
PM
)
and
inclusion
body
myositis
(
IBM
)
.
Muscular
biopsy
takes
a
seminal
place
in
their
diagnosis
,
through
analysis
of
the
topography
and
clustering
of
individual
histological
lesions
:
endomysial
,
perimysial
and
perivascular
inflammation
,
muscular
necrosis
with
regeneration
,
fibre
modifications
,
fibrosis
,
micro-angiopathy
.
They
can
be
associated
with
collagen
diseases
or
malignant
tumors
that
usually
precede
them
.
IBM
seems
somewhat
apart
among
inflammatory
myopathies
,
being
characterised
by
the
association
of
neurogenic
and
myogenic
features
and
the
presence
of
vacuoles
containing
filaments
with
an
accumulation
of
proteins
previously
reported
in
Alzheimer
's
disease
(
beta
amyloid
protein
,
tau
,
ubiquitin
,
.
)
.
Inflammation
is
of
various
intensity
,
lacking
in
familial
IBM
(
hereditary
inclusion
body
myopathy
)
that
otherwise
shares
the
same
histologic
characteristics
as
sporadic
forms
.
Other
inflammatory
muscular
diseases
:
focal
myositis
,
eosinophilic
polymyositis
,
are
less
frequent
.
Macrophagic
myofasciitis
,
viral
myositis
and
drug
induced
myositis
are
discussed
in
other
articles
.
Diseases
Validation
Diseases presenting
"myopathy"
symptom
coats disease
cushing syndrome
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
familial mediterranean fever
focal myositis
homocystinuria without methylmalonic aciduria
inclusion body myositis
junctional epidermolysis bullosa
lymphangioleiomyomatosis
megacystis-microcolon-intestinal hypoperistalsis syndrome
pyruvate dehydrogenase deficiency
This symptom has already been validated