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Lesson of the month
Polymyositis as a cause of total gut failure
  1. A J Hughes1,
  2. I Ferguson1,
  3. E Rankin2,
  4. K Kane1
  1. 1Department of Gastroenterology, Selly Oak Hospital, Raddlebarn Road, Birmingham B29 6JD, UK
  2. 2Department of Rheumatology, Selly Oak Hospital
  1. Correspondence to:
    Dr E Rankin, Department of Rheumatology, Selly Oak Hospital, Raddlebarn Road, Birmingham B29 6JD, UK

Abstract

Background: Gastrointestinal manifestations are seen in systemic sclerosis and mixed connective tissue disorders but are rare in pure polymyositis.

Case report: A 44 year old woman with polymyositis who developed total gut failure requiring treatment with total parenteral nutrition is described.

Results: The patient's polymyositis is now fully controlled biochemically, but her gastrointestinal symptoms persist.

  • polymyositis
  • gut failure
  • BMI, body mass index
  • CK, creatine kinase
  • GI, gastrointestinal
  • TPN, total parenteral nutrition

https://doi.org/10.1136/ard.61.4.305

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    Footnotes

    • Series editor: Anthony D Woolf