Anti-SRP myopathy

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Anti-SRP myopathy. Anti SRP causes a form of immune mediated necrotizing myopathy (IMNM). Fully referenced neurology checklist.

Pathology

  • Anti SRP causes a form of immune mediated necrotizing myopathy (IMNM)
  • It is associated with HLA DRB1*08:03, B*5001, and DQA1*0104
  • It has been associated with viral infections

Neurological features: limb weakness

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Neurological features: others

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Systemic features

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Neurological investigations

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Cardiac investigations

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Treatment

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Outcome

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References

  1. Valiyil R, Casciola-Rosen L, Hong G, Mammen A, Christopher-Stine L. Rituximab therapy for myopathy associated with anti-signal recognition particle antibodies: a case series. Arthritis Care Res (Hoboken) 2010; 62:1328-1334. 
  2. Hengstman GJ, ter Laak HJ, Vree Egberts WT, et al. Anti-signal recognition particle autoantibodies: marker of a necrotising myopathy. Ann Rheum Dis 2006; 65:1635-1638.
  3. Miller T, Al-Lozi MT, Lopate G, Pestronk A. Myopathy with antibodies to the signal recognition particle: clinical and pathological features. JNNP 2002; 73:420-428.
  4. Ma X, Bu BT. Anti-SRP immune-mediated necrotizing myopathy: a critical review of current concepts. Front Immunol 2022; 13:1019972.
  5. Iriki J, Yamamoto K, Senju H, et al. Influenza A (H3N2) infection followed by anti-signal recognition particle antibody-positive necrotizing myopathy: a case report. Int J Infect Dis 2021; 103:33-36.
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