Bulbar Syndrome Revealing Anti-PM/SCL Antibody-Positive Scleromyositis: A Case Report

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Bulbar Syndrome Revealing Anti-PM/SCL Antibody-Positive Scleromyositis: A Case Report

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Abstract

Scleromyositis is a new clinical entity, an overlapping syndrome involving two distinct autoimmune diseases, systemic scleroderma and polymyositis or dermatomyositis. We report an observation of a 43-year-old female patient with a history of thyroidectomy, who has been presenting with phonation and swallowing disorders for over 6 months. Clinical examination revealed neuro-myogenic syndrome. Biological findings included elevated creatine phosphokinase at 1497 IU/L and lactate dehydrogenase at 954 IU/L, and the presence of a chronic inflammatory syndrome on serum protein electrophoresis. The electroneuromyography showed sensitive and motor polyneuropathy associated with polymyositis. Immunological tests revealed positive anti-PM/Scl-75 antibodies in the DOT myositis assay. The patient was treated with corticosteroid therapy 1mg/kg/day plus adjuvant plus methotrexate 15mg/week. The evolution was marked by a progressive clinical improvement of the motor deficit and biological improvement with a clear decrease in creatine phosphokinase.

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Bulbar Syndrome Revealing Anti-PM/SCL Antibody-Positive Scleromyositis: A Case Report

Serigne Abdou Fall
Serigne Abdou Fall Centre Hospitalier National Universitaire de Fann
Grace TSEMO
Grace TSEMO Centre Hospitalier National Universitaire de Fann
Ndiaga Matar GAYE
Ndiaga Matar GAYE Centre Hospitalier National Universitaire de Fann
Adjaratou Dieynabou SOW
Adjaratou Dieynabou SOW Centre Hospitalier National Universitaire de Fann
Marième Soda DIOP
Marième Soda DIOP Centre Hospitalier National Universitaire de Fann
Anna Mbodji BASSE
Anna Mbodji BASSE Centre Hospitalier National Universitaire de Fann
Lala Bouna SECK
Lala Bouna SECK Centre Hospitalier National Universitaire de Fann
Moustapha NDIAYE
Moustapha NDIAYE Centre Hospitalier National Universitaire de Fann