Article
Rheumatology
Leonardo S. Hoff, Fernando H. C. de Souza, Renata Miossi, Samuel K. Shinjo
Summary: This study aimed to evaluate the long-term effects of pulse intravenous methylprednisolone (IVMP) or intravenous immunoglobulin (IVIG) in patients with dermatomyositis (DM) and polymyositis (PM) during the first year of diagnosis. The results showed that patients who received early pulse IVMP or pulse IVMP + IVIG had a higher hazard ratio for complete clinical response, while the combination of pulse IVMP + IVIG was associated with discontinuation of corticosteroids.
Article
Rheumatology
Margherita Giannini, Maria Luisa Fiorella, Marilina Tampoia, Francesco Girolamo, Marco Fornaro, Angela Amati, Anna Lia, Letizia Abbracciavento, Dario D'Abbicco, Florenzo Iannone
Summary: This study evaluated the efficacy of a step-up strategy involving IVIG added to immunosuppressants for treating refractory dysphagia in IIM patients. The results showed improvements in dysphagia symptoms after three months of IVIG treatment, with stable or further improvement at the 52-week follow-up. The study also observed improvements in muscle strength and a steroid-sparing effect of IVIG in these patients.
Article
Medicine, General & Internal
R. Aggarwal, C. Charles-Schoeman, J. Schessl, Z. Bata-Csorgo, M. M. Dimachkie, Z. Griger, S. Moiseev, C. Oddis, E. Schiopu, J. Vencovsky, I Beckmann, E. Clodi, O. Bugrova, K. Danko, F. Ernste, N. A. Goyal, M. Heuer, M. Hudson, Y. M. Hussain, C. Karam, N. Magnolo, R. Nelson, N. Pozur, L. Prystupa, M. Sardy, G. Valenzuela, A. J. van Der Kooi, T. Vu, M. Worm, T. Levine
Summary: This study evaluated the use of IVIG for the treatment of dermatomyositis in a randomized, placebo-controlled trial. The results showed that IVIG treatment resulted in a significant increase in the percentage of patients with at least minimal improvement in disease activity compared to placebo. However, IVIG treatment was associated with adverse events, including thromboembolism.
NEW ENGLAND JOURNAL OF MEDICINE
(2022)
Article
Rheumatology
Prateek C. Gandiga, Daniela Ghetie, Elizabeth Anderson, Rohit Aggrawal
Summary: This review provides a practical guide for using intravenous immunoglobulin (IVIG) and subcutaneous immunoglobulin (SCIG) in the management of IIM. IVIG has been proven safe and effective against IIM in recent studies, and it can be used as a first-line or add-on treatment for various types of IIM. However, accessibility and cost remain limiting factors.
CURRENT RHEUMATOLOGY REPORTS
(2023)
Article
Rheumatology
Maayan Ohad, Asaf Shemer, Inbar Lavie, David Ozeri, Yehuda Shoenfeld, Shaye Kivity
Summary: IVIG treatment for patients with inflammatory myopathies resulted in significant improvement in muscle strength, reduction in creatinine phosphokinase levels, and steroid dosage. Majority of patients experienced clinical and laboratory improvement, suggesting IVIG as a potential alternative treatment option for those with limited responsiveness to conventional methods.
JCR-JOURNAL OF CLINICAL RHEUMATOLOGY
(2021)
Review
Immunology
Rudra Prosad Goswami, Soumendra Nath Haldar, Moumita Chatterjee, Pallavi RaaphorstVij, Anneke J. van der Kooi, Johan Lim, Joost Raaphorst, Danveer Bhadu, Chiara Gelardi, Maira Giovanna Danieli, Uma Kumar
Summary: This systematic review and meta-analysis evaluated the efficacy and safety of immunoglobulin therapy in idiopathic inflammatory myopathy and juvenile dermatomyositis. The results showed that immunoglobulin therapy improved muscle strength, reduced cutaneous disease activity and dysphagia, and reduced the use of glucocorticoids and immunosuppressants. The therapy was generally safe with a low risk of infection.
AUTOIMMUNITY REVIEWS
(2022)
Article
Rheumatology
Kristin M. D'Silva, Lingyi Li, Na Lu, Alexis Ogdie, J. Antonio Avina-Zubieta, Hyon K. Choi
Summary: The study aimed to examine recent trends in diabetes mellitus (DM) and polymyositis (PM), finding that the premature mortality gap has not significantly improved in recent years, indicating a need for better therapeutic interventions.
Article
Clinical Neurology
Sinja Vogt, Felix Kleefeld, Corinna Preusse, Gabriele Arendt, Stefan Bieneck, Anna Brunn, Martina Deckert, Benjamin Englert, Hans-Hilmar Goebel, Anja Masuhr, Eva Neuen-Jacob, Cornelia Kornblum, Jens Reimann, Federica Montagnese, Benedikt Schoser, Werner Stenzel, Katrin Hahn
Summary: This study compared the clinical, histopathological, and transcriptomic characteristics of sporadic inclusion body myositis (sIBM) and HIV-associated IBM (HIV-IBM). The presence of KLRG1(+) cells was found to differentiate sIBM from HIV-IBM, suggesting a longer disease duration and T-cell stimulation in sIBM.
JOURNAL OF NEUROLOGY
(2023)
Article
Rheumatology
Salman F. Bhai, Mazen M. Dimachkie, Marianne de Visser
Summary: Idiopathic inflammatory myopathies are a group of systemic inflammatory disorders that primarily affect muscle. Accurate diagnosis requires multiple laboratory and pathological evidence due to the wide variation in signs and symptoms. Misdiagnosis is often attributed to overlapping clinical manifestations and limitations of diagnostic tests. Understanding the limitations of tests and recognizing the shared features between inflammatory and noninflammatory myopathies can help avoid misdiagnosis with other similar conditions.
BEST PRACTICE & RESEARCH IN CLINICAL RHEUMATOLOGY
(2022)
Letter
Dermatology
Elizabeth T. Rotrosen, Omid Zahedi Niaki, Bina Kassamali, Sarah Lonowski, Neda Shahriari, Avery LaChance, Ruth Ann Vleugels
Summary: This cohort study examined the link between intravenous immunoglobulin treatment for dermatomyositis and thromboembolic events.
Review
Rheumatology
Anji Xiong, Yiying Qiang, Yuzi Cao, Yu Shuai, Huini Chen, Qilang Xiang, Ziyi Hu, Zhuoyao Song, Shifeng Zhou, Yan Zhang, Hongxu Cui, Ye Wang, Jie Luo, Shiquan Shuai, Yuan Yang
Summary: This study evaluated the efficacy and safety of intravenous immunoglobulin (IVIG) in the treatment of dermatomyositis (DM) and polymyositis (PM). The meta-analysis results showed that IVIG can significantly improve CK levels, muscle strength, activities of daily living, and esophageal involvement. Adverse reactions following IVIG administration are usually mild and patients tolerate it well.
MODERN RHEUMATOLOGY
(2023)
Article
Rheumatology
Marcus Pinto, Ruple S. Laughlin, Christopher J. Klein, Jay Mandrekar, Elie Naddaf
Summary: Dysphagia was the main clinical feature of IBM correlating with endomysial inflammation. Otherwise, inclusion body myositis clinical measures had limited correlation with histopathological features in this study. The shortness of MUP duration correlated with all clinical measures.
Article
Rheumatology
Sangmee Sharon Bae, Ani Shahbazian, Jennifer Wang, Ilana Golub, Buzand Oganesian, Tyler Dowd, Beata Vayngortin, Ryan Wang, David Elashoff, Srinivasa T. Reddy, Christina Charles-Schoeman
Summary: This study found that the activity of PON1 is significantly reduced in patients with IIM compared to healthy controls, and it is inversely associated with disease activity and the presence of severe ILD. The PON1 Q192R polymorphism is strongly linked to the paraoxonase activity of PON1 in IIM, and patients with the PON1 QQ genotype may have better disease outcomes in IIM.
Editorial Material
Dermatology
Rachita Pandya, Julianne Kleitsch, Victoria P. Werth
Summary: Aggarwal et al. recently published the results of a phase III trial investigating the use of intravenous immunoglobulin (IVIG) in dermatomyositis (DM). The study demonstrated that patients who received IVIG showed greater improvement in disease activity compared to those who received placebo, leading to FDA approval for the use of IVIG in DM. However, the study also raised concerns regarding the inclusion of patients with different subtypes of DM, such as skin-predominant/amyopathic and post-myopathic DM.
BRITISH JOURNAL OF DERMATOLOGY
(2023)
Article
Rheumatology
Renaud Felten, Margherita Giannini, Benoit Nespola, Beatrice Lannes, Dan Levy, Raphaele Seror, Olivier Vittecoq, Eric Hachulla, Aleth Perdriger, Philippe Dieude, Jean-Jacques Dubost, Anne-Laure Fauchais, Veronique Le Guern, Claire Larroche, Emmanuelle Dernis, Dewi Guellec, Divi Cornec, Jean Sibilia, Xavier Mariette, Jacques-Eric Gottenberg, Alain Meyer
Summary: The study aimed to investigate the prevalence, characteristics, and treatment response of myositis in primary SS (pSS) patients. Results revealed that approximately 1% of the 395 pSS patients studied had myositis. Patients with suspected myositis had higher patient-reported scores, while those with confirmed myositis had a longer disease duration.