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Year : 2019  |  Volume : 10  |  Issue : 1  |  Page : 45-47

A case of flaccid quadriparesis

Department of Internal Medicine, SMS Medical College, Jaipur, Rajasthan, India

Correspondence Address:
Dr. Mayank Gupta
S-81, Hardik Medicos, Barkat Nagar Chouraha, Tonk Phatak, Jaipur, Rajasthan
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/INJMS.INJMS_14_18

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Inclusion body myositis (IBM) is the most common inflammatory myopathy above the age of 50 years and three times more common in males than females. It presents as a distal more than proximal myopathy and has an indolent progressive course. Despite the latest advancements, it is challenging to diagnose this disease as it may resemble amyotrophic lateral sclerosis (ALS) clinically and polymyositis histopathologically. What sets it apart from the other myopathies is the fact that it has a very poor response to standard therapies of steroids and immunosuppressants. We present a case of a 30-year-old female patient presenting with relatively rapid onset of quadriparesis and dysphagia which was ultimately diagnosed with IBM. This case report attempts to highlight the difficulties in diagnosing this rare disease and the limited modalities of treatment.

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