Dermatomyositis and polymyositis: causes and treatment methods


  • Dermatomyositis, polymyositis and their causes
  • How to treat myositis

  • Dermatomyositis, polymyositis and their causes

    Inflammation of one or more skeletal musclecalled myositis. In that case the process involved in many pathological muscle development suggests polymyositis. In some cases the damage affects not only muscles but also the skin, the disease is called - dermatomyositis.

    Let us consider in more detail some types of myositis: myositis, polymyositis.
    Dermatomyositis often occurs in womenyoung and middle-aged. The origin of the disease is not precisely defined, presumably pathology can be triggered by a virus or genetic factors (genetic predisposition). The trigger is stress, colds, hypothermia and even sunlight. The defeat of the skin is expressed in the appearance of the characteristic rash on the hands, face, upper body. Eruptions are red or purple color, in addition, sometimes there is swelling of the eyelids.
    Associated symptoms - weakness, chills,fever (usually low grade), dramatic weight loss. The worsening state of health can be both rapid and gradual. Dermatomyositis have a lot of unpleasant consequences for the patient - so can long remain flabby and shortening of the muscles, and may be accumulations of calcium under the skin, causing pain to the patient.

    When polymyositis, and as already mentioned above,hit several muscle groups. When this is not as pronounced as the main symptom is muscle weakness unlike myositis local pain. First, the patient is difficult to climb the stairs, then, he can not get up from his chair, and later atrophy muscles of the neck and the patient can not afford to keep even the head in an upright position, the last stage of the disease is atrophy of swallowing, chewing muscles and the muscles involved in breathing. Sometimes it polymyositis accompanied by swelling of muscles and swelling of the joints - arthritis develops. All of the above symptoms when treatment is initiated promptly, and there comes a full recovery.
    Myositis has two phases - acute and chronic. As a rule, finished the cure acute myositis hroniziruetsya and then worried about the patient periodically - pain intensified when supercooling, changing weather conditions, appearing at night and during prolonged static posture.

    Chronic myositis may be a consequence ofinfectious diseases such as the common cold. Sometimes the patient is not even aware that he was struck by the disease as long as the symptoms become too pronounced. Acute myositis develops after infection when the local muscle generalizovanoy acute infection and injury due to muscular overstrain and (especially in combination with hypothermia).
    Myositis primarily exposed muscles of the neck,waist, calves, chest. In that case, if there is a local myositis (polymyositis and not) pain and muscle weakness, apply only to a specific group of muscles. The main symptom of myositis is a pain that is aching in nature, and especially increases with movement and touch to the muscles. On palpation palpable painful lesions - cords and nodules. Partly edema and hyperemia (redness) of the skin occurs in some cases. Sometimes myositis accompanied by fever, headache. Condition of the patient deteriorates without adequate therapy.

    How to treat myositis

    Dermatomyositis and polymyositis: causes and treatment methodsTreatment of myositis and pathogeneticsymptomatic. First of all, it is necessary to determine the cause of the disease. So, at the origin of the parasitic myositis appointed anthelmintics, in the case of infectious (bacterial) injury - antibiotics, and if myositis was the result of an autoimmune disease, corticosteroids and immunosuppressants shows long courses.
    In any case, analgesics and are assignedanti-inflammatory drugs, in addition, at the local myositis good effect therapy warming ointments. These drugs improve trophism muscles exert local irritating effect, and reduce muscle tension, and hence reduce the intensity of pain.

    Acute myositis patient shown in bedmode, and limitation of physical activity. Exposure to elevated temperatures can receive antipyretics. The affected area (neck, back, calf) should be kept warm, you can apply warming woolen bandage - effectively the so-called "dry heat".

    In the case of suppurative myositis should be made tosurgeon - might be the source of infection produced an autopsy, removing the pus and then draining the imposition of bandages. In this case, antibiotics are used not only parenterally (i.e. bypassing the digestive tract), and topically (ointments, powders).
    applied physical therapy techniques, massage (with purulent myositis is contraindicated), therapeutic exercise, a special diet for the treatment of myositis.
    Preventive measures: avoid overvoltage muscles, hard work in the cold, drafts, time to treat colds and other infectious diseases (should not be moved "on your feet" disease).

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