Immune mediated necrotising myopathy (IMNM): clinical features

Evidence-based neurology checklist on immune mediated necrotising myopathy (imnm): clinical features: Antibody profile Anti SRP: this frequently involves the lungs Anti HMGCR: this is seen in statin exposed subjects Antibody negative (seronegative): this has a strong association with cancer Also…

Antibody profile

  • Anti SRP: this frequently involves the lungs
  • Anti HMGCR: this is seen in statin exposed subjects
  • Antibody negative (seronegative): this has a strong association with cancer
  • Also see Neurochecklist: “IMNM: causes”

Clinical features

Features of seronegative NAM

Differential diagnosis

Prognostic features

Synonym

References

  1. Kassardjian CD, Lennon VA, Alfugham NB, Mahler M, Milone M. Clinical features and treatment outcomes of necrotizing autoimmune myopathy. JAMA Neurol 2015; 72:996-1003.
  2. Meriggioli MN. The clinical spectrum of necrotizing autoimmune myopathy: a mixed bag with blurred lines. JAMA Neurol 2015; 72:977-979. 
  3. Selva-O'Callaghan A, Pinal-Fernandez I, Trallero-Araguás E, Milisenda JC, Grau-Junyent JM, Mammen AL. Classification and management of adult inflammatory myopathies. Lancet Neurol 2018; 17:816-828.
  4. Soares IFZ, Comprido VF, Hsu BRRHS, Alves de Siqueira Carvalho A. Immune-mediated necrotising myopathy in asymptomatic patients with high creatine kinase. BMJ Case Rep 2020; 13:e235457.
  5. Lim J, Rietveld A, De Bleecker JL, et al. Seronegative patients form a distinctive subgroup of immune-mediated necrotizing myopathy. Neurol Neuroimmunol Neuroinflamm 2018; 6:e513. 
  6. And 5 more. Subscribe to see the full list

Related checklists

Loading...