Immune mediated necrotising myopathy (IMNM): causes

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

Immune mediated necrotising myopathy (IMNM): causes. Anti SRP: this is present in about a quarter of cases. Fully referenced neurology checklist.

Autoimmune

  • Anti HMGCoA reductase: this is found in about a third of cases
  • Anti SRP: this is present in about a quarter of cases

Statins

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Paraneoplastic

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Viral causes

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CHKB congenital muscular dystrophy

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Other causes

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Synonym

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Acronyms

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References

  1. Kassardjian CD, Lennon VA, Alfugham NB, Mahler M, Milone M. Clinical features and treatment outcomes of necrotizing autoimmune myopathy. JAMA Neurol 2015; 72:996-1003.
  2. Meriggioli MN. The clinical spectrum of necrotizing autoimmune myopathy: a mixed bag with blurred lines. JAMA Neurol 2015; 72:977-979. 
  3. Babu S, Li Y. Statin induced necrotizing myopathy. J Neurol Sci 2015; 351:13-17. 
  4. Mammen AL, Chung T, Christopher-Stine L, et al. Autoantibodies against 3-hydroxy-3-methylglutaryl-coenzyme A reductase in patients with statin-associated autoimmune myopathy. Arthritis Rheum 2011; 63:713-721.
  5. Babu S, Li Y. Statin induced necrotizing myopathy. J Neurol Sci 2015; 351:13-17. 
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