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The spectrum of elderly myopathies in an Asian population
Neurology Asia ; : 177-181, 2013.
Article en En | WPRIM | ID: wpr-628643
Biblioteca responsable: WPRO
ABSTRACT
Myopathies, although presenting more commonly in the younger age group, can occur and contribute signifi cantly to disability in the elderly. To describe the spectrum of elderly myopathies, we reviewed 52 elderly patients (> 65 years) from the University of Malaya Medical Centre muscle biopsy databank, constituting 6.8% of 759 adult patients (> 18 years) who underwent muscle biopsy between 1992 and 2012. Commonest were the infl ammatory myopathies (41/52, 78.8%), of which 43.9% had dermatomyositis; 23.9% polymyositis; 14.6% sporadic inclusion body myositis; 9.8% undifferentiated myositis and 2.4% overlap myositis. Seven patients (13.4%) had genetic myopathy; 2 muscular dystrophy and 5 chronic progressive external ophthalmoplegia, while 4 patients (7.7%) had drug-associated myopathy, 3 with statins. Malignancies were seen in 9.8% of infl ammatory myopathies at diagnosis. Both acquired and genetic myopathies are seen in elderly Malaysians of all ethnicities and should not be misdiagnosed as some are potentially treatable and/or associated with malignancy.
Texto completo: 1 Base de datos: WPRIM Idioma: En Revista: Neurology Asia Año: 2013 Tipo del documento: Article
Texto completo: 1 Base de datos: WPRIM Idioma: En Revista: Neurology Asia Año: 2013 Tipo del documento: Article