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 |
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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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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.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.1545-22</identifier><identifier>PMID: 37032082</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>Case Report ; delayed finger opening ; extensor digitorum ; Finger ; idiopathic inflammatory myopathy ; Inflammation ; Internal medicine ; Myopathy ; Myotonia ; myotonic dystrophy</subject><ispartof>Internal Medicine, 2023/11/15, Vol.62(22), pp.3397-3400</ispartof><rights>2023 by The Japanese Society of Internal Medicine</rights><rights>Copyright Japan Science and Technology Agency 2023</rights><rights>Copyright © 2023 by The Japanese Society of Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c556t-8c7adb9bd59ccfc8f58b9f426ce07b443994809617487e9767db0bcf4e98d3763</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10713367/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10713367/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,1877,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37032082$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kanbayashi, Takamichi</creatorcontrib><creatorcontrib>Kobayashi, Shunsuke</creatorcontrib><creatorcontrib>Hatanaka, Yuki</creatorcontrib><creatorcontrib>Shimizu, Jun</creatorcontrib><creatorcontrib>Sonoo, Masahiro</creatorcontrib><title>Idiopathic Inflammatory Myopathy with Delayed Finger Opening Resembling Grip Myotonia</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><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.</description><subject>Case Report</subject><subject>delayed finger opening</subject><subject>extensor digitorum</subject><subject>Finger</subject><subject>idiopathic inflammatory myopathy</subject><subject>Inflammation</subject><subject>Internal medicine</subject><subject>Myopathy</subject><subject>Myotonia</subject><subject>myotonic dystrophy</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNplkV9v0zAUxS0EYt3gK6BIvPCS4T9JbD8hNNhWaagSYs-W49y0rhI72C4o3x6HlgrGy_WV_TvH9j0IFQRfU9LI99YlCE4PI3TWWAfXpK7qktJnaEVYJUtOWf0crbAkoqS5XKDLGPcYM8ElfYkuGMeMYkFX6HHdWT_ptLOmWLt-0OOokw9z8WX-vT0XP23aFZ9g0DN0xa11WwjFZgKXu-IrRBjbYWnvgp0WUfLO6lfoRa-HCK9P6xV6vP387ea-fNjcrW8-PpSmrptUCsN118q2q6UxvRF9LVrZV7QxgHlbVUzKSmDZEF4JDpI3vGtxa_oKpOgYb9gV-nD0nQ5tnoUBl4Ie1BTsqMOsvLbq3xNnd2rrfyiCOWGs4dnh3ckh-O8HiEmNNhoYBu3AH6KiXEqSx8llRt8-Qff-sKSQKYmJzI5yMRRHygQfY4D-_BqC1RKeehqeWsJTlGbpm79_cxb-SSsDmyOwj0lv4QzokKwZ4H_nhmbfpZ6uOJNmp4MCx34B4ka5wg</recordid><startdate>20231115</startdate><enddate>20231115</enddate><creator>Kanbayashi, Takamichi</creator><creator>Kobayashi, Shunsuke</creator><creator>Hatanaka, Yuki</creator><creator>Shimizu, Jun</creator><creator>Sonoo, Masahiro</creator><general>The Japanese Society of Internal Medicine</general><general>Japan Science and Technology Agency</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20231115</creationdate><title>Idiopathic Inflammatory Myopathy with Delayed Finger Opening Resembling Grip Myotonia</title><author>Kanbayashi, Takamichi ; Kobayashi, Shunsuke ; Hatanaka, Yuki ; Shimizu, Jun ; Sonoo, Masahiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c556t-8c7adb9bd59ccfc8f58b9f426ce07b443994809617487e9767db0bcf4e98d3763</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Case Report</topic><topic>delayed finger opening</topic><topic>extensor digitorum</topic><topic>Finger</topic><topic>idiopathic inflammatory myopathy</topic><topic>Inflammation</topic><topic>Internal medicine</topic><topic>Myopathy</topic><topic>Myotonia</topic><topic>myotonic dystrophy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kanbayashi, Takamichi</creatorcontrib><creatorcontrib>Kobayashi, Shunsuke</creatorcontrib><creatorcontrib>Hatanaka, Yuki</creatorcontrib><creatorcontrib>Shimizu, Jun</creatorcontrib><creatorcontrib>Sonoo, Masahiro</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kanbayashi, Takamichi</au><au>Kobayashi, Shunsuke</au><au>Hatanaka, Yuki</au><au>Shimizu, Jun</au><au>Sonoo, Masahiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Idiopathic Inflammatory Myopathy with Delayed Finger Opening Resembling Grip Myotonia</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2023-11-15</date><risdate>2023</risdate><volume>62</volume><issue>22</issue><spage>3397</spage><epage>3400</epage><pages>3397-3400</pages><artnum>1545-22</artnum><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>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.</abstract><cop>Japan</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>37032082</pmid><doi>10.2169/internalmedicine.1545-22</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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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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