Idiopathic Inflammatory Myopathy with Delayed Finger Opening Resembling Grip Myotonia

Grip myotonia can be a clue for the diagnosis of myotonic disorders. However, several clinical conditions cause delayed finger opening mimicking grip myotonia. We herein report a 44-year-old man with idiopathic inflammatory myopathy who presented with delayed finger opening resembling grip myotonia....

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Veröffentlicht in:Internal Medicine 2023/11/15, Vol.62(22), pp.3397-3400
Hauptverfasser: Kanbayashi, Takamichi, Kobayashi, Shunsuke, Hatanaka, Yuki, Shimizu, Jun, Sonoo, Masahiro
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container_end_page 3400
container_issue 22
container_start_page 3397
container_title Internal Medicine
container_volume 62
creator Kanbayashi, Takamichi
Kobayashi, Shunsuke
Hatanaka, Yuki
Shimizu, Jun
Sonoo, Masahiro
description Grip myotonia can be a clue for the diagnosis of myotonic disorders. However, several clinical conditions cause delayed finger opening mimicking grip myotonia. We herein report a 44-year-old man with idiopathic inflammatory myopathy who presented with delayed finger opening resembling grip myotonia. The delayed finger opening differed from grip myotonia given the absence of the warm-up phenomenon and percussion myotonia, relative sparing of the thumb extension, and pronounced weakness of the extensor digitorum. Focusing on the extension of the thumb and other fingers may aid in the differentiation between delayed finger opening and true grip myotonia.
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subjects Case Report
delayed finger opening
extensor digitorum
Finger
idiopathic inflammatory myopathy
Inflammation
Internal medicine
Myopathy
Myotonia
myotonic dystrophy
title Idiopathic Inflammatory Myopathy with Delayed Finger Opening Resembling Grip Myotonia
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