Table 2

Characteristics of previously reported cases of AAV with muscle weakness

Age/ sexMuscle involvementCK (U/L)MRI/PET scanHistologyOther organ involvementANCACRP
(mg/L)
Our patient82/MSevere proximal weakness/myalgia211No MRI done, but PET normalFibrinoid necrosis of medium vesselsNoneMPO182.2
Oiwa et al 45 76/FWeakness/myalgia25MRI showed muscle oedemaSmall vessel vasculitisPulmonary fibrosisMPO84.52
Birnbaum et al 46 77/FProximal weakness/myalgiaNormalMRI showed muscle oedemaPerimysial vasculitisPulmonary fibrosisMPONA
Kim et al 47 71/MCalf painNormalMRI showed abnormal fat infiltrationNecrotising granulomatous vasculitisPulmonary fibrosis and Kidney (FNG)MPO95.7
Benz et al
Case 38
64/MMyalgia/proximal weaknessNormalMRI showed diffuse inflammationNecrotising vasculitisNoneNegative330
Benz et al
Case 18
80/FMyalgia/proximal weaknessEight times the limitMRI showed muscle oedemaSmall vessel vasculitis.NoneNegative289
Benz et al
Case 28
79/FMyalgia/proximal weakness4000 U/LMRI showed lipomatous atrophy/involutionSmall vessel vasculitisNoneNegative380
Ojima et al 23 58/MMyalgia/Muscle weakness29 998 U/LMRI showed muscle oedemaFibrinoid necrosis of arteriolesNonePR3305
Akagi et al 48 59/MCalf pain237 U/LMRI showed muscle oedemaFibrinoid necrosis of arteriolesKidney involvementPR3155
  • 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.