[A case of polymyositis in autoimmune thyroiditis with hyperthyroidism].
A young woman, during an autoimmune thyroiditis with hyperthyroidism, suffered from progressive proximal weakness at her four limbs. The diagnosis of a concomitant polymyositis was indicated by a marked increase of plasma CPK, myopathic findings at EMG and a clearcut picture of inflammatory alterations at muscle biopsy. Steroid therapy brought a full recovery of both thyroid and muscular symptoms. In the following months, the patient suffered from a second episode of thyroiditis and subsequently from another poussée of polymyositis. The possible pathogenesis underlying the unusual association of an autoimmune thyroiditis with a polymyositis is discussed.
Stevanato
F
F
Istituto di Clinica delle Malattie Nervose e Mentali, Università di Padova.
Martinello
F
F
Pesce
R
R
Terribile
I V
IV
Saia
A
A
Trevisan
C P
CP
D000328:Adult; D001327:Autoimmune Diseases / Q000150:complications*; D005260:Female; D006801:Humans; D006980:Hyperthyroidism / Q000150:complications*; D008297:Male; D009220:Myositis / Q000209:etiology*; D013966:Thyroiditis / Q000150:complications*
Su un caso di polimiosite in corso di tiroidite autoimmune con ipertiroidismo.