Immune myopathies with perimysial pathology (IMPP)

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

Immune myopathies with perimysial pathology (IMPP). Females are predominantly affected. Fully referenced neurology checklist.

Demographic features

  • Females are predominantly affected
  • The mean onset age is 47 years

Myopathic features

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Systemic features

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Investigations

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Differential diagnosis

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Pathology

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Acute treatment

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Long-term immunosuppression

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References

  1. Bucelli RC, Pestronk A. Immune myopathies with perimysial pathology: Clinical and laboratory features. Neurol Neuroimmunol Neuroinflamm 2018; 5:e434.
  2. Kwon PM, Zhou L, Motiwala R, Kerr LD, Shin SC. Immune myopathy with perimysial pathology associated with interstitial lung disease and anti-EJ antibodies. J Clin Neuromuscul Dis 2017; 18:223-227.
  3. Nozaki K, Pestronk A. High aldolase with normal creatine kinase in serum predicts a myopathy with perimysial pathology. JNNP 2009; 80:904-908.
  4. Alshehri A, Choksi R, Bucelli R, Pestronk A. Myopathy with anti-HMGCR antibodies: perimysium and myofiber pathology. Neurol Neuroimmunol Neuroinflamm 2015; 2:e124.

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