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  • Clinical Reminder
    Riaudel, Typhaine; Khatchatourian, Lydie; Chevalet, Pascal; Pichierri, Sophie; Mussini, Jean Marie; Berrut, Gilles

    Age and ageing, 01/2013, Volume: 42, Issue: 1
    Journal Article

    Riadel et al report a case of head drop suggesting inflammatory myopathy in an 80-year-old woman. An 80-year-old woman presented with a two-month history of mechanical back pain, weight loss and difficulty in standing up straight. Physical examination showed an involuntary neck flexion in orthostatism that resolved in supine position. They found elevated levels of creatine kinase, antinuclear antibodies and a pulmonary fibrosis. Deltoid muscle biopsy showed inflammatory myopathy. The patient presented autoimmune inflammatory myositis associated with positive auto-antibodies and pulmonary fibrosis, suggesting overlap myositis.