Brachio-cervical inflammatory myopathy (BCIM)

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

Brachio-cervical inflammatory myopathy (BCIM). The mean onset age is 24-82 years. Fully referenced neurology checklist.

Clinical features

  • The mean onset age is 24-82 years
  • It presents with progressive weakness
  • Weakness is most prominent in the posterior cervical and upper limb muscles
  • The lower limbs are relatively spared

Differential diagnosis

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Associated disorders

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Associated autoantibodies

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Creatinine kinase (CK)

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Muscle biopsy: features

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Treatment

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References

  1. Gao AF, Saleh PA, Kassardjian CD, Vinik O, Munoz DG. Brachio-cervical inflammatory myopathy with associated scleroderma phenotype and lupus serology. Neurol Neuroimmunol Neuroinflamm 2017; 5:e410. 
  2. Pestronk A, Kos K, Lopate G, Al-Lozi MT. Brachio-cervical inflammatory myopathies: clinical, immune, and myopathologic features. Arthritis Rheum 2006; 54:1687-1696.
  3. Lucchini M, Bortolani S, Monforte M, et al. Long-term follow-up and muscle imaging findings in brachio-cervical inflammatory myopathy. Neurol Neuroimmunol Neuroinflamm 2021; 8:e1016. 

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