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Diagnosis and classification of sporadic inclusion body myositis (sIBM).
[inclusion body myositis]
Sporadic
inclusion
body
myositis
(
sIBM
)
is
the
most
common
acquired
muscle
disease
in
elderly
individuals
,
particularly
men
.
Its
prevalence
varies
among
ethnic
groups
but
is
estimated
at
35
per
one
million
people
over
50
.
Genetic
as
well
as
environmental
factors
and
autoimmune
processes
might
both
have
a
role
in
its
pathogenesis
.
Unlike
other
inflammatory
myopathies
,
sIBM
causes
very
slowly
progressive
muscular
weakness
and
atrophy
,
having
a
distinctive
pattern
of
muscle
involvement
and
different
forms
of
clinical
presentation
.
In
some
cases
a
primary
autoimmune
disease
coexists
.
Diagnosis
is
suspected
on
clinical
grounds
and
is
established
by
typical
muscle
pathology
.
As
a
rule
sIBM
is
refractory
to
conventional
forms
of
immunotherapy
.
Diseases
Validation
Diseases presenting
"autoimmune disease"
symptom
acute rheumatic fever
coats disease
familial hypocalciuric hypercalcemia
familial mediterranean fever
harlequin ichthyosis
inclusion body myositis
kabuki syndrome
malignant atrophic papulosis
omenn syndrome
sneddon syndrome
waldenström macroglobulinemia
wiskott-aldrich syndrome
This symptom has already been validated