The Brazilian Society of Rheumatology recommendations on investigation and diagnosis of systemic autoimmune myopathies

Author:

de Souza Fernando Henrique Carlos,de Araújo Daniel Brito,Vilela Verônica Silva,Simões Ricardo Santos,Bernardo Wanderley Marques,Frank Thais Amanda,da Cunha Bernardo Matos,Shinjo Samuel Katsuyuki

Abstract

Abstract Background This research is recommended by the Myopathy Committee of the Brazilian Society of Rheumatology for the investigation and diagnosis of systemic autoimmune myopathies. Body A systematic literature review was performed in the Embase, Medline (PubMed) and Cochrane databases, including studies published until October 2018. PRISMA was used for the review, and the articles were evaluated, based on the Oxford levels of evidence. Ten recommendations were developed addressing different aspects of systemic autoimmune myopathy investigation and diagnosis. Conclusions The European League Against Rheumatism/ American College of Rheumatology (EULAR/ACR) classification stands out for the diagnosis of systemic autoimmune myopathies. Muscular biopsy is essential, aided by muscular magnetic resonance images and electroneuromyography in complementary research. Analysis of the factors related to prognosis with the evaluation of extramuscular manifestations, and comorbidities and intense investigation regarding differential diagnoses are mandatory.

Funder

Sociedade Brasileira de Reumatologia

Publisher

Springer Science and Business Media LLC

Subject

Rheumatology

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