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→Polymyositis and Dermatomyositis
*Tx: TCAs, SSRIs, Gabapentin, Pregabalin, exercise, PT, hydrotherapy, heat, pain psych
*Tx: TCAs, SSRIs, Gabapentin, Pregabalin, exercise, PT, hydrotherapy, heat, pain psych
=Polymyositis and Dermatomyositis=
=Polymyositis=
*H&P: Proximal muscle weakness, elevated CK.
*H&P: Proximal muscle weakness
*Dx: Differential includes fibromyalgia and PMR
*Dx: Elevated CK; Differential includes fibromyalgia and PMR.
*Tx: Can be complicated by ILD.
*Tx: Can be complicated by ILD.
=Dermatomyositis=
*H&P: Symmetric proximal muscle weakness. Gottron papules, heliotrope rash
*Dx: Elevated CPK; positive ANA, anti-Jo-1 antibodies
*Tx: High-dose corticosteroids. Screen for malignancy. Screen for ILD with CXR.
=Scleroderma=
=Scleroderma=