Benign acute viral myositis in African migrants: A clinical, serological, and pathological study

• Published in: Muscle & nerve 2019-11, Vol.60 (5), p.586-590
• Main Authors: Pancheri, Elia, Lanzafame, Massimiliano, Zamò, Alberto, Angheben, Andrea, Sartoris, Silvia, Zorzi, Antonella, Boaretti, Marzia, Signoretto, Caterina, Guglielmi, Valeria, Ferrari, Sergio, Tonin, Paola, Vattemi, Gaetano
• Format: Article
• Language: English
• Subjects: Adolescent; Amino Acyl-tRNA Synthetases - immunology; Antibodies; Antibodies, Viral - immunology; Antigens; Autoantibodies - immunology; Cameroon - ethnology; CD8 antigen; CD8-Positive T-Lymphocytes - immunology; Cote d'Ivoire - ethnology; Coxsackie virus; Creatine Kinase - blood; Emigrants and Immigrants; Ghana - ethnology; Histocompatibility Antigens Class I - immunology; Humans; Immunoglobulin G - immunology; Immunoglobulin M - immunology; Inflammation; Inflammatory diseases; inflammatory myopathies; Italy; Lymphocytes; Lymphocytes T; Macrophages; Macrophages - immunology; Major histocompatibility complex; Male; Migrants; Muscles; Musculoskeletal diseases; Myopathy; Myositis; Myositis - complications; Myositis - immunology; Myositis - pathology; Myositis - physiopathology; myositis‐specific antibodies; Nigeria - ethnology; Polymyositis; Rhabdomyolysis; Rhabdomyolysis - blood; Rhabdomyolysis - etiology; Serology; Signal Recognition Particle - immunology; tRNA; viral myositis; Virus Diseases - complications; Virus Diseases - immunology; Virus Diseases - pathology; Viruses
• ISSN: 0148-639X; 1097-4598
• DOI: 10.1002/mus.26679

Background Several viruses have been described as causes of acquired inflammatory myopathies; however, the mechanisms by which they cause muscle disease are still unclear. The aim of this study was to describe the laboratory features of benign acute myositis in a small case series. Methods A detailed pathological and serological analysis was performed in five African migrants who developed an acute viral myositis complicated by rhabdomyolysis. Results Muscle biopsies clearly documented an inflammatory myopathy with histological features similar to polymyositis including CD8+ T cells surrounding and invading nonnecrotic muscle fibers, CD68+ macrophages and major histocompatibility complex class I antigen upregulation. In addition, positivity for myositis‐specific antibodies (MSA), in particular anti‐aminoacyl tRNA synthetases, was found in the serum of two patients. Conclusions Our study demonstrated that T‐cell mediated injury occurs in muscle of patients with acute viral myositis, and that MSA may be present in the serum of these patients.