Characteristics of previously reported cases of AAV with muscle weakness
Age/ sex | Muscle involvement | CK (U/L) | MRI/PET scan | Histology | Other organ involvement | ANCA | CRP (mg/L) | |
Our patient | 82/M | Severe proximal weakness/myalgia | 211 | No MRI done, but PET normal | Fibrinoid necrosis of medium vessels | None | MPO | 182.2 |
Oiwa et al 45 | 76/F | Weakness/myalgia | 25 | MRI showed muscle oedema | Small vessel vasculitis | Pulmonary fibrosis | MPO | 84.52 |
Birnbaum et al 46 | 77/F | Proximal weakness/myalgia | Normal | MRI showed muscle oedema | Perimysial vasculitis | Pulmonary fibrosis | MPO | NA |
Kim et al 47 | 71/M | Calf pain | Normal | MRI showed abnormal fat infiltration | Necrotising granulomatous vasculitis | Pulmonary fibrosis and Kidney (FNG) | MPO | 95.7 |
Benz et al
Case 38 | 64/M | Myalgia/proximal weakness | Normal | MRI showed diffuse inflammation | Necrotising vasculitis | None | Negative | 330 |
Benz et al
Case 18 | 80/F | Myalgia/proximal weakness | Eight times the limit | MRI showed muscle oedema | Small vessel vasculitis. | None | Negative | 289 |
Benz et al
Case 28 | 79/F | Myalgia/proximal weakness | 4000 U/L | MRI showed lipomatous atrophy/involution | Small vessel vasculitis | None | Negative | 380 |
Ojima et al 23 | 58/M | Myalgia/Muscle weakness | 29 998 U/L | MRI showed muscle oedema | Fibrinoid necrosis of arterioles | None | PR3 | 305 |
Akagi et al 48 | 59/M | Calf pain | 237 U/L | MRI showed muscle oedema | Fibrinoid necrosis of arterioles | Kidney involvement | PR3 | 155 |
AAV, ANCA-associated vasculitis ; ANCA, antineutrophil cytoplasmic antibodies; CK, creatinine kinase; F, female; FNG, focal necrotising glomerulonephritis; M, male; MPO, myeloperoxidase; NA, not available; PET, positron-emission tomography; PR3, proteinase 3.