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Identical Skeletal and Cardiac Muscle Involvement in a Case of Fatal Polymyositis
Dennis L. Hill, MD;
Howard S. Barrows, MD
Arch Neurol. 1968;19(6):545-551.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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THE variability in clinical and pathological manifestations of polymyositis coupled with ignorance concerning its etiology has made classification difficult.1 The occurrence of myocardial involvement very similar to the skeletal muscle involvement in the case reported here not only shows another facet of a multifaceted syndrome but may underline the significance of cardiac failure as the cause of death in severe cases.
Report of a Case
A 22-year-old white airline stewardess was well until mid-October 1963, when she became aware of weakness in her arms while carrying her suitcase or setting her hair. Subsequently she had difficulty walking, climbing stairs, and maintaining an erect posture. There was mild transitory muscle soreness that she felt was similar to muscle tenderness felt after heavy exercise. In late November 1963 weakness and shortness of breath became worse. She had to be careful when swallowing to avoid choking. Her weight dropped from 133
. . . [Full Text PDF of this Article]
Author Affiliations
Los Angeles
From the Los Angeles County-University of Southern California Medical Center.
Footnotes
Submitted for publication April 4, 1968; accepted July 1.
Reprint requests to Department of Neurology, University of Southern California Medical School, Los Angeles 90033 (Dr. Barrows).
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