Case report: the outcomes of idiopathic inflammatory myositis in a 43 oldwoman.

Abstract

Introduction: We report a case of a 43 old woman with medical history of dermatomyositis for 8 years, and complaints of symmetrical muscle weakness, especially in lower extremities, low enduranceand fatigue. The patient’s medical history is remarkable by osteoporosis due to treatment with corticosteroids, bilateral hip artroplasty for avascular necrosis. The physical examination was remarkable by proximal muscular atrophy, calcinosis of gluteus muscles. The remainder of examination was normal. In this patient, our goal was to apply clinical tools in order to assess disease’s outcomes. Clinical case: Changes Associated with damage in MII are post-inflammatory, cumulative and irreversible, present at least 6 months despite prior immunosuppressive treatment or rehabilitation. In order to assess diseases outcomes in this patient we applied the next tools: patient’s questionnaire, Myositis Damage Index(MDI), Manual Muscle Test 8(MMT8), LifeSatisfaction 11, PATIENT GLOBAL MDGA). After analyzing the ACTIVITY ASSESSMENT(PGA), PHYSICIAN GLOBAL ACTIVITY ASSESSMENT( results we determined that MMT8 score was rather high 55 out of 80, due to the rehabilitation programs that the patient attended. There was an insignificant discrepancy between PGA and MDGA, with the trend from patient to diminish the role of the disease. We tried to measure life satisfaction by LiSat 11, in this patient, it was dissatisfied due to psychological health and leisure situations. The MDI score got 14 points out of 38, the most damage was found in muscular and skeletal systems. Conclusion: In order to determine how myositis patients' illnesses change over time we have to assess them using special established and validated tools and to have patient-reported outcome measures for myositis.