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Inflammatory myopathy with initial respiratory muscles involvement and rheumatoid arthritis.
[inclusion body myositis]
Inflammatory
myopathies
comprise
a
heterogeneous
group
of
subacute
,
chronic
and
sometimes
acute
acquired
muscle
diseases
.
The
most
common
inflammatory
myopathies
seen
in
practice
can
be
separated
into
four
distinct
subsets
:
polymyositis
,
dermatomyositis
,
necrotizing
autoimmune
myositis
and
inclusion
body
myositis
.
These
disorders
present
as
proximal
and
symmetric
muscle
weakness
but
rarely
respiratory
muscles
may
also
be
affected
.
We
report
the
case
of
a
39
year
-old
female
with
inflammatory
myopathy
with
acute
respiratory
failure
due
to
alveolar
hypoventilation
secondary
to
respiratory
muscle
dysfunction
that
required
mechanical
ventilation
.
The
treatment
with
steroids
,
methotrexate
and
intravenous
immune
globulin
was
successful
as
well
as
the
implementation
of
non-invasive
ventilation
as
an
alternative
to
endotracheal
intubation
.