Advances in Rheumatology (Oct 2019)

The Brazilian Society of Rheumatology recommendations on investigation and diagnosis of systemic autoimmune myopathies

  • Fernando Henrique Carlos de Souza,
  • Daniel Brito de Araújo,
  • Verônica Silva Vilela,
  • Ricardo Santos Simões,
  • Wanderley Marques Bernardo,
  • Thais Amanda Frank,
  • Bernardo Matos da Cunha,
  • Samuel Katsuyuki Shinjo

DOI
https://doi.org/10.1186/s42358-019-0085-5
Journal volume & issue
Vol. 59, no. 1
pp. 1 – 11

Abstract

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Abstract Background This research is recommended by the Myopathy Committee of the Brazilian Society of Rheumatology for the investigation and diagnosis of systemic autoimmune myopathies. Body A systematic literature review was performed in the Embase, Medline (PubMed) and Cochrane databases, including studies published until October 2018. PRISMA was used for the review, and the articles were evaluated, based on the Oxford levels of evidence. Ten recommendations were developed addressing different aspects of systemic autoimmune myopathy investigation and diagnosis. Conclusions The European League Against Rheumatism/ American College of Rheumatology (EULAR/ACR) classification stands out for the diagnosis of systemic autoimmune myopathies. Muscular biopsy is essential, aided by muscular magnetic resonance images and electroneuromyography in complementary research. Analysis of the factors related to prognosis with the evaluation of extramuscular manifestations, and comorbidities and intense investigation regarding differential diagnoses are mandatory.

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