title: Patient with statin-associated immune-mediated necrotizing myopathy presenting with subcutaneous edema, persistent bulbar weakness and absent anti-HMGCR.
authors.affiliation: Rheumatology Unit, Department of Medicine, Kuala Lumpur Hospital, Kuala Lumpur, Malaysia.
authors.forename: Swee Gaik
authors.initials: SG
authors.lastname: Ong
authors.affiliation: Rheumatology Unit, Department of Medicine, Kuala Lumpur Hospital, Kuala Lumpur, Malaysia.
authors.forename: Hui Jen
authors.initials: HJ
authors.lastname: Ding
mesh_terms: D000368:Aged; D001323:Autoantibodies / Q000276:immunology*; D001379:Azathioprine / Q000009:adverse effects; D001706:Biopsy; D010244:Bulbar Palsy, Progressive / Q000139:chemically induced* / Q000175:diagnosis / Q000188:drug therapy / Q000276:immunology; D004487:Edema / Q000139:chemically induced* / Q000175:diagnosis / Q000188:drug therapy / Q000276:immunology; D005938:Glucocorticoids / Q000008:administration & dosage; D006801:Humans; D006903:Hydroxymethylglutaryl CoA Reductases / Q000276:immunology*; D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors / Q000009:adverse effects* / Q000276:immunology; D007166:Immunosuppressive Agents / Q000008:administration & dosage; D008297:Male; D018908:Muscle Weakness; D018482:Muscle, Skeletal / Q000187:drug effects* / Q000473:pathology / Q000503:physiopathology; D009135:Muscular Diseases / Q000139:chemically induced* / Q000175:diagnosis / Q000188:drug therapy / Q000276:immunology; D009336:Necrosis; D011239:Prednisolone / Q000008:administration & dosage; D020127:Recovery of Function; D019821:Simvastatin / Q000009:adverse effects* / Q000276:immunology; D016896:Treatment Outcome
chemical_list: D001323:Autoantibodies; D005938:Glucocorticoids; D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors; D007166:Immunosuppressive Agents; D011239:Prednisolone; D019821:Simvastatin; C553220:HMGCR protein, human; D006903:Hydroxymethylglutaryl CoA Reductases; D001379:Azathioprine