炎性肌病英文匯報(bào)

演講人：日期：炎性肌病英文匯報(bào)目錄IntroductiontoInflammatoryMyopathyClinicalManifestationsofInflammatoryMyopathyDiagnosticApproachesforInflammatoryMyopathyTreatmentStrategiesforInflammatoryMyopathyPrognosisandLongTermManagementofInflammatoryMyopathyConclusionandFuturePerspectives01IntroductiontoInflammatoryMyopathyDefinitionInflammatorymyopathyreferstoagroupofmusclediseasescharacterizedbyinflammationoftheskeletalmuscles,leadingtomuscleweaknessanddamageClassificationInflammatorymycopathsarebroadlyclassifiedintothreemaintypes:polymyositis,dermatomyositis,andinclusionbodymycositisEachtypehasdistinctclinicalfeatures,diagnosis,andtreatmentoptionsDefinitionandClassificationEpidemiologyInflammatorymycopathiesarerelativelyrarediseases,affectingbothadultsandchildrenTheactualincidenceandvalidityvarydependingonthetypeofinflationmyopathyandthepopulationstudyRiskFactorsMultipleriskfactorshavebeenidentifiedforinflammatorymyopathy,includinggeneticpredisposition,environmentalfactors,andcentralmedicineHowever,theexactcausesofthesediseasesremainunknownEpidemiologyandRiskFactorsPathogenesisandpathologyThepathogenesofinflammationmyopathyinvolvecompleximmunemediatedprocessesthatleadtomuscleinflammationanddamageThisincludestheactivationofT-cellsandthereleaseoftokens,whichcontributestotheinflammatoryresponsewithinthemuscleissuePathogenesisThepathologicalhallmarksofinflammatorymyopathyincludemultiplefiberintersections,infiltrationofinflammatorycells,andvascularchangesThesechangescanbeobservedthroughmultiplebiopsiesandhistopathologicalexaminationsPathology02ClinicalManifestationsofInflammatoryMyopathyProximalmuscleweakness01Afteraffectingthehips,shoulders,andthighs,leadingtodifferenceswithactivitiessuchasclimbingstairsorraisingarmsFatigue02Acommoncomplaint,resultingfromthemuscleweaknessandinflationMusclepainandtenderness03Accommodatingtheweaknessandfatigue,patientsmayexperiencediscomfortandsorenessintheaffectedmusclesMuscleWeaknessandFatigue

SkinRashandUlcerationsGottron'spapulesRaised,redorpurplishbumpsstylishlyfoundontheknuckles,elbows,orknotsHeliotroperushApurplecoloredrushthatoftenappearsontheeyelidsandCheeksUlcerationsSkinbreakdownandulcerformation,specificallyaroundthenailbedsoronpressurepointsArthritisAmoresevereformofjointinvolvement,characterizedbychronicinflammation,pain,andstiffnessTendenitisandbursitisInflammationofthetensandbursities,objectively,causingpainandtendernessaroundthejointsJointpaintandswingingInflammationofthejoints,leadingtodiscomfortandlimitedrangeofmotionJointInvolvementandArthritisDyspneaDifficultlybreaking,oftenduetomuscleweaknessaffectingtherespiratorymusclesCoughandcostpayResultingfromlunginvolvementorinflationofthecostwallCardiacarrhythmiasandchronicheartfailureInmultiplecases,inflammatorymyopathycanaffecttheheartmuscle,leadingtoirregularheartbeatandheartfailureRespiratoryandCardiacManifestations03DiagnosticApproachesforInflammatoryMyopathyPhysicalExaminationandHistoryTakingMusclestrengthandtoneassessmentEvaluationofmusclebulk,symmetry,andpresenceofatmosphereorphysiologyJointexaminationCheckingforjointinvolvement,tension,swinging,orlimitedrangeofmotionSkinassessmentObservingforrashes,erythma,orothercuticularartifactsassociatedwithinflammatorymyopathyDetailedhistorytakingInquiryaboutsymptomssuchasmusclepain,weakness,fatigue,anddiversityswitchingorbreakingSerummuscleenzymesElevatedlevelsofcreativekinase(CK),aldolase,andaspartateaminotransferase(AST)mayindicatemuscledamageInflammatorymarkersElevatederythrocytesedimentationrate(ESR)andC-reactiveprocess(CRP)levelssuggestaninflammatoryprocessGenetictestingInsomecases,genetictestingmaybeperformedtoidentifygeneticmutationsassociatedwithflammatorymyopathyAutoantibioticsPresenceofspecificautoantibioticssuchasantiJo-1,antiMi-2,orantisignalrecognitionparticle(SRP)canbeaidinthediagnosisofcancerinmyopathyLaboratorytestsandbiomarkersMuscleultrasoundThisnoninvasiveimagingmodalitycanassessmuscleechogenicity,texture,andthepresenceofinflammationinfiltrationsoratmosphereMagneticresonanceimaging(MRI)MRIprovidesdetailedvisualizationofmuscleanatomyandcandetectinflammation,edema,fatinfiltration,orpathologyComputedtomography(CT)Althoughnotroutinelyusedformuscleevaluation,CTcanbehelpfulinassessmentcalculationsorotherstructuralchangesinmusclesPostronemissiontomography(PET)PETimagingwithradiolabeledtracerscandetectareasofincreasedmetabolicactivity,indicatinginflationinsamplesImagingTechniquesforMuscleEvaluationEMGEMGrecordstheelectricalactivityofmusclesandcandetectabnormalitiessuchasmyopathicchanges,concealment,orperipheralactivityNCSNCSmeasurestheelectricalconductivityofnervesandcanhelpdifferentiatebetweenmuscleandnervedisordersNeedEMGInthisprocedure,afineneedisinsertedintothemuscletorecordelectricalactivitydirectlyfrommusclefibersRepetitivenervestimulationThistestinvolvesstimulatinganerverepeatedlytoassessforneurologicaltransmissiondefectsElectromyography(EMG)andNerveConductionStudies(NCS)04TreatmentStrategiesforInflammatoryMyopathyWidelyusedtoreduceinflationandallocatesyndromesquicklyCorticosteroidsDrugsthatsuppresstheimmunesystem,helpfulincaseswherecorticosteroidsareineffectiveortominimizecorticosteroidusageImmunosuppressantsUsedtorelievepainanddiscomfortassociatedwithinflammationmyopathyAnalgesicsPharmaceuticalTherapy03BiologicalagentsTargetedtherapiesthatinterferewithspecificpartsoftheimmunesystemimpliedinflammatorymycopathy01IntravenousImmunoglobulin(IVIG)Administrationofantibioticsfromhealthydonorstoregulatetheimmunesystem02PlasmaisRemovalofantibioticsfromthebloodplasmatoreduceinflammationImmunoherapiesandBiologicsExercisetherapyTailoredexerciseprogramstomaintainmusclestrengthandflexibility,improveendurance,andreducepayOccupationaltherapyTechniquestohelppatientsperformdailyactivitiesdespitemuscleweaknessandpainPhysicalmodulationsIncludingheat,cold,electricalstimulation,andmasstorelievepainandmuscletensionPhysicalTherapyandRehabilitationNutritionalsupplementsSuchasvitamins,minerals,andglobalpreparationstosupportoverallhealthandwellbeingIncludingrelaxationtechniques,treatment,andbiofeedbacktomanagestressandpainAnincidentinChinesepracticeinvolvingtheinsertionofneedsatspecificpointsonthebodytorelievepainandpromotehealingSuchasmass,chiropracticcare,andorthopathicmanipulationtoallocatemusclepainandimprovefunctionMindbodytherapiesAcquisitionManipulativetherapiesComprehensiveandAlternativeMedicine(CAM)05PrognosisandLongTermManagementofInflammatoryMyopathyPrognosticfactorsThediagnosisofinflammatorymyopathydependsonthetype,severity,andresponsivenesstotreatmentGenerally,patientswithmilktomodeldiseaseandgoodresponsetoimmunosuppressivetherapyhaveabetterdiagnosisOutcomesWithappropriatetreatmentandmanagement,mostpatientswithinflammatorymyopathycanachievesignificantimprovementinmusclestrengthandfunctionHowever,somepatientsmayexperiencerelapsesordevelopchronic,progressivediseasesPrognosticFactorsandOutcomesVSRegularfollow-upvisitswitharheumatologistorneurologistareessentialformonitoringdiseaseactivity,assessmenttreatmentresponse,andidentifyingpotentialapplicationsFollowupcarePatientsshouldbeadvisedtomaintainahealthylifestyle,includingabalanceddie,regularexercise,andequalrest.Additionally,theyshouldbeencouragedtoreportanyneworworrisomesymptomspromptlyLongtermmonitoringLongTermMonitoringandFollowupCareItiscriticaltoeducatepatientsandtheirfamiliesaboutthenatureofthedisease,treatmentoptions,andself-managementstrategiesThishelpstoempowerpatientsandimprovetheirinheritancetotreatmentplansPatienteducationJoiningasupportgroupcanprovidepatientswithemotionalsupport,practicaladvice,andasenseofcommunityThesegroupsoftenoffervaluableresourcesandinformationaboutthelatesttreatmentsandresearchdevelopmentsSupportgroupsPatientEducationandSupportGroups06ConclusionandFuturePerspectivesSummaryofKeyPoints01Inflammatorymyopathyisagroupofdiseasescharacterizedbymuscleinflationandweakness02Diagnosisdependsonacombinationofclinicalfeatures,bloodtests,andmultiplebiopsies03Treatmenttypologicallyinvolvesminimalsuppressivemedicineto