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Research ArticleOriginal Article
Open Access

Clinical and laboratory characteristics of idiopathic inflammatory myositis in Saudi patients

A retrospective study in a single tertiary centre

Fahidah Alenzi, Jawaher Alotaibi, Manal Alnasser and Fahdah Alokaily
Saudi Medical Journal May 2023, 44 (5) 492-497; DOI: https://doi.org/10.15537/smj.2023.44.5.20220213
Fahidah Alenzi
From the Department of Clinical Science (Alenzi), College of Medicine, Princess Nourah bint Abdulrahman University; and from the Division of Rheumatology, Department of Medicine (Alotaibi, Alnasser, Alokaily), Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.
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  • For correspondence: [email protected]
Jawaher Alotaibi
From the Department of Clinical Science (Alenzi), College of Medicine, Princess Nourah bint Abdulrahman University; and from the Division of Rheumatology, Department of Medicine (Alotaibi, Alnasser, Alokaily), Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.
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Manal Alnasser
From the Department of Clinical Science (Alenzi), College of Medicine, Princess Nourah bint Abdulrahman University; and from the Division of Rheumatology, Department of Medicine (Alotaibi, Alnasser, Alokaily), Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.
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Fahdah Alokaily
From the Department of Clinical Science (Alenzi), College of Medicine, Princess Nourah bint Abdulrahman University; and from the Division of Rheumatology, Department of Medicine (Alotaibi, Alnasser, Alokaily), Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.
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Tables

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    Table 1

    - Characteristics of the patients’ demographics (N=26).

    Characteristicn%
    Gender
    Male415.4
    Female2284.6
    Ethnicity
    Saudi26100.0
    Age (in years), mean±standard36.16±13.48
    Disease duration, mean±standard deviation7.18±4.66
    Type of myositis
    Dermatomyositis1661.5
    Polymyositis726.9
    Inclusion body myositis13.8
    Anti-synthetase syndrome27.7
    • View popup
    Table 2

    - Clinical features of the patients (N=26).

    Characteristicn%
    Painless muscle weakness2596.2
    Gottron’s papules956.3
    Heliotrope rash743.8
    Dysphagia1038.5
    Arthritis726.9
    Mechanics hands425.0
    V sign318.8
    Shawl sign318.8
    Raynaud’s phenomenon212.5
    Holster sign00.0
    Cuticular overgrowth00.0
    Periungual erythema00.0
    Malignancy00.0
    Lung disease
    No involvement969.2
    Mild interstitial lung disease215.4
    No interstitial lung disease17.7
    Interstitial lung disease17.7
    • View popup
    Table 3

    - Frequency for type of autoantibody (N=26).

    Type of autoantibodyn%
    Anti Jo-1
    Positive519.2
    Negative2180.8
    Anti-nuclear antibody (ANA)
    Positive1768.0
    Negative832.0
    ANA pattern
    Speckled830.8
    Nucleolar519.2
    Not available13.8
    Negative726.9
    Homogeneous519.2
    • View popup
    Table 3

    - Association between clinical characteristics and idiopathic inflammatory myositis (IIM) types.

    Clinical characteristicIIM types
    DMPMIBMAnti-synthetaseP-value
    n (%)
    Heliotrope rash (Yes)7 (100.0)0 (0.0)0 (0.0)0 (0.0)0.112
    Gottron’s papules9 (100.0)0 (0.0)0 (0.0)0 (0.0)0.035*
    V sign3 (100.0)0 (0.0)0 (0.0)0 (0.0)0.548
    Shawl sign3 (100.0)0 (0.0)0 (0.0)0 (0.0)0.548
    Raynaud’s phenomenon1 (50.0)1 (50.0)0 (0.0)0 (0.0)0.867
    mechanics hands2 (50.0)0 (0.0)0 (0.0)2 (50.0)0.006**
    Painless muscle weakness (proximal/distal)16 (64.0)7 (28.0)1 (4.0)1 (4.0)0.006**
    Dysphagia5 (50.0)4 (40.0)1 (10.0)0 (0.0)0.237
    Arthritis3 (42.9)2 (28.6)0 (0.0)2 (28.6)0.096
    • ↵** p<0.01,

    • ↵* p<0.05, DM: dermatomyositis, PM: polymyositis, IBM: inclusion body myositis

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Saudi Medical Journal: 44 (5)
Saudi Medical Journal
Vol. 44, Issue 5
1 May 2023
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Clinical and laboratory characteristics of idiopathic inflammatory myositis in Saudi patients
Fahidah Alenzi, Jawaher Alotaibi, Manal Alnasser, Fahdah Alokaily
Saudi Medical Journal May 2023, 44 (5) 492-497; DOI: 10.15537/smj.2023.44.5.20220213

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Clinical and laboratory characteristics of idiopathic inflammatory myositis in Saudi patients
Fahidah Alenzi, Jawaher Alotaibi, Manal Alnasser, Fahdah Alokaily
Saudi Medical Journal May 2023, 44 (5) 492-497; DOI: 10.15537/smj.2023.44.5.20220213
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Keywords

  • dermatomyositis
  • idiopathic inflammatory myositis
  • muscle weakness
  • Saudi Arabia

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