Inflammatory myopathies

Differences in muscle magnetic resonance imaging findings between anti-signal recognition particle antibody-positive myopathy and anti-aminoacyl-tRNA synthetase antibody-positive myositis

Clin Exp RheumatolPublished Retrospective cohort study

Authors' conclusion

A comparison of thigh MRI between anti-SRP myopathy and anti-ARS myositis showed different findings and lesion sites reflecting the different pathophysiology that may contribute to their diagnosis.

Study context

Population
Patients newly diagnosed with polymyositis (PM)/dermatomyositis (DM) and immune-mediated necrotising myopathy (IMNM), positive for anti-SRP or anti-ARS antibodies, with thigh magnetic resonance imaging (MRI) at diagnosis; April 2012–December 2021of 98 PM/DM and IMNM patients
Participants
5 / 11 / 22
Exposure
Anti-SRP myopathy vs anti-Jo-1 antibody-positive myositis vs non-Jo-1 antibody-positive myositis (thigh MRI findings)
  • SRPn = 5
  • Jo-1n = 11
  • Non-Jo-1n = 22
Outcome
Lesion sites and thigh muscle MRI findings (oedema, fascial oedema, fatty replacement, muscle atrophy)
Follow-up
At diagnosis
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Thigh MRI findings
  • Oedema in most cases in both anti-SRP and anti-ARS groups
  • Fascial oedema identified only in the ARS group, frequently in Jo-1 positive patients
  • SRP vs ARS: P = 0.008

Observational data: associations, not effects.

Further findings

OutcomeP value
Blood myogenic enzymes (e.g. serum CK)SRP vs Other groups · significantly higher in SRPP = 0.01

Original publication

Differences in muscle magnetic resonance imaging findings between anti-signal recognition particle antibody-positive myopathy and anti-aminoacyl-tRNA synthetase antibody-positive myositis. Clin Exp Rheumatol. Published 15 November 2022. doi:10.55563/clinexprheumatol/fjfkfs

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