Steroid myopathy: clinical features
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Steroid myopathy: clinical features. Dose >10mg/day equivalent of Prednisolone, Elderly subjects, Cancer patients. Fully referenced neurology checklist.
High risk factors
- Fluorinated steroids: Dexamethasone, Betamethasone, and Triamcinolone
- Dose >10mg/day equivalent of Prednisolone
- Elderly subjects
- Cancer patients
- Inactivity
- Respiratory compromise
Acute-onset steroid myopathy
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Chronic steroid myopathy
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Clinical features
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References
- Pereira RMR, de Carvalho JF. Glucocorticoid-induced myopathy. Joint Bone Spine 78; 2011:41-44.
- Dekhuijzen PNR, Decramer M. Steroid-induced myopathy and its significance to respiratory disease: a known disease rediscovered. Eur Respir J 1992; 5:997-1003.
- Haran M, Schattner A, Kozak N, Mate A, Berrebi A, Shvidel L. Acute steroid myopathy: a highly overlooked entity. QJM 2018; 111:307-311.
- Van Marle W, Woods KL. Acute hydrocortisone myopathy. BMJ 1980; 281:271-272.
- Dalakas MC. Therapeutic advances and future prospects in immune-mediated inflammatory myopathies. Ther Adv Neurol Disord 2008; 1:157-166.
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