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Optimal strategy for additional diagnostics in myositis
  • for JDM.
  • The MRI was assessed according to previously published grading scores for muscle size (score 0 to 3), muscle fatty replacement (score 0 to 4), muscle edema
  • muscle complains (i.e. myotoxic medication, viral diseases, positive family history for neuromuscular disease, (4) current immunosuppressive treatment
  • Which diagnostic tests should be used for diagnosing idiopathic inflammatory myopathy (IIM)?
  • As for specificity, the limited evidence only supports the use of MRI as triage test.
  • . * Overweeg af te zien van een spierbiopt: Bij patiënten bekend met een Connective Tissue Disease, evidente spierzwakte en een verhoogd CK Bij een klassieke
  • A multidisciplinary working group was set up in 2020 for the development of the guideline module, consisting of representatives of all relevant specialisms
  • Muscle biopsy Muscle biopsy is usually considered the gold standard for diagnosing IIM.
  • the Knowledge Institute of the Federation of Medical Specialists (www.demedischspecialist.nl/ kennisinstituut) and was financed from the Quality Funds for
  • The draft guideline was also submitted for comment to the Vereniging Spierziekten Nederland, the Dutch Artritis Society and Patiëntenfederatie Nederland
  • disease (ILD), screening for malignancies, and the diagnostic value of antibody detection.
  • Has acted as consultant and/or paid speaker for and/or participated in research sponsored by companies that manufacture drugs used for the treatment of
  • J Clin Epidemiol. 2017 Jul;87:4-13. doi: 10.1016/j.jclinepi.2017.05.006. Epub 2017 May 18. PubMed PMID: 28529184; PubMed Central PMCID: PMC6542664.
Screening for pulmonary and cardiac involvement in myositis
  • radiological pattern, lung involvement and disease behavior.
  • Almost all included studies used high-resolution CT, the gold standard, to screen for ILD.
  • the Knowledge Institute of the Federation of Medical Specialists (www.demedischspecialist.nl/ kennisinstituut) and was financed from the Quality Funds for
  • The draft guideline was also submitted for comment to the Vereniging Spierziekten Nederland, the Dutch Artritis Society and Patiëntenfederatie Nederland
  • What diagnostic modalities can be used to screen for pulmonary and cardiac involvement in idiopathic inflammatory myopathy (IIM)?
  • Aanbeveling 4 Verwijs patiënten met IIM en een verdachte syncope door naar een cardioloog voor een Holter-registratie van minimaal 24 uur uit.
  • involvement 11 selected, 7 included and 4 excluded; cardiac involvement 6 selected, 5 included and 1 excluded).
  • Has acted as consultant and/or paid speaker for and/or participated in research sponsored by companies that manufacture drugs used for the treatment of
  • A multidisciplinary working group was set up in 2020 for the development of the guideline module, consisting of representatives of all relevant specialisms
  • to the high a-priori chance of the presence of ILD in IIM and the influence of ILD on prognosis and risk of respiratory deterioration, it is proposed for
  • J Clin Epidemiol. 2017 Jul;87:4-13. doi: 10.1016/j.jclinepi.2017.05.006. Epub 2017 May 18. PubMed PMID: 28529184; PubMed Central PMCID: PMC6542664.

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