Inflammatory myopathies

Revisiting idiopathic eosinophilic myositis: towards a clinical-pathological continuum from the muscle to the fascia and skin

Rheumatology (Oxford)Published Retrospective case series

Authors' conclusion

The analysis of IEM and EF patient characteristics delineates four subgroups (FEM, DEM, EMF and EF) in terms of clinical, laboratory, imaging, pathological and outcome specificities

Study context

Population
Idiopathic eosinophilic myositis (IEM) patients diagnosed 2000–2022 (eosinophilic muscle infiltration with myositis pathological features, differential diagnoses excluded) and EF patients diagnosed 2016–202220 IEM and 10 EF cases
Participants
3 / 6 / 11 / 10
Exposure
Focal EM (FEM) vs diffuse EM (DEM) vs eosinophilic myofasciitis (EMF) vs EF
  • FEMn = 3
  • DEMn = 6
  • EMFn = 11
  • EFn = 10
Outcome
Clinical-pathological subgroups of idiopathic eosinophil muscle infiltration
Methodological detailsmulticentre
  • Multicentre

Main finding

As reported in the abstract

OutcomeEMFEF
Myalgia55%50%
Hypereosinophilia55%— not stated in the abstract
Fascia-restricted infiltrates with eosinophils— not stated in the abstract60%
Fascia-restricted infiltrates without eosinophils— not stated in the abstract40%

— not stated in the abstract

Age at diagnosis, median (IQR), years
65 (49-70)
Males
18

Observational data: associations, not effects.

Original publication

Revisiting idiopathic eosinophilic myositis: towards a clinical-pathological continuum from the muscle to the fascia and skin. Rheumatology (Oxford). Published 6 October 2022. doi:10.1093/rheumatology/keac556

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