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

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 detaile...

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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
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cited_by cdi_FETCH-LOGICAL-c3539-de82a8cc58aba818e847e56b3e79472f8166e2457f13e64d272d5b5e7003b523
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container_issue 5
container_start_page 586
container_title Muscle & nerve
container_volume 60
creator Pancheri, Elia
Lanzafame, Massimiliano
Zamò, Alberto
Angheben, Andrea
Sartoris, Silvia
Zorzi, Antonella
Boaretti, Marzia
Signoretto, Caterina
Guglielmi, Valeria
Ferrari, Sergio
Tonin, Paola
Vattemi, Gaetano
description 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.
doi_str_mv 10.1002/mus.26679
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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.</description><identifier>ISSN: 0148-639X</identifier><identifier>EISSN: 1097-4598</identifier><identifier>DOI: 10.1002/mus.26679</identifier><identifier>PMID: 31443116</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley &amp; Sons, Inc</publisher><subject>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</subject><ispartof>Muscle &amp; nerve, 2019-11, Vol.60 (5), p.586-590</ispartof><rights>2019 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3539-de82a8cc58aba818e847e56b3e79472f8166e2457f13e64d272d5b5e7003b523</citedby><cites>FETCH-LOGICAL-c3539-de82a8cc58aba818e847e56b3e79472f8166e2457f13e64d272d5b5e7003b523</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31443116$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pancheri, Elia</creatorcontrib><creatorcontrib>Lanzafame, Massimiliano</creatorcontrib><creatorcontrib>Zamò, Alberto</creatorcontrib><creatorcontrib>Angheben, Andrea</creatorcontrib><creatorcontrib>Sartoris, Silvia</creatorcontrib><creatorcontrib>Zorzi, Antonella</creatorcontrib><creatorcontrib>Boaretti, Marzia</creatorcontrib><creatorcontrib>Signoretto, Caterina</creatorcontrib><creatorcontrib>Guglielmi, Valeria</creatorcontrib><creatorcontrib>Ferrari, Sergio</creatorcontrib><creatorcontrib>Tonin, Paola</creatorcontrib><creatorcontrib>Vattemi, Gaetano</creatorcontrib><title>Benign acute viral myositis in African migrants: A clinical, serological, and pathological study</title><title>Muscle &amp; nerve</title><addtitle>Muscle Nerve</addtitle><description>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.</description><subject>Adolescent</subject><subject>Amino Acyl-tRNA Synthetases - immunology</subject><subject>Antibodies</subject><subject>Antibodies, Viral - immunology</subject><subject>Antigens</subject><subject>Autoantibodies - immunology</subject><subject>Cameroon - ethnology</subject><subject>CD8 antigen</subject><subject>CD8-Positive T-Lymphocytes - immunology</subject><subject>Cote d'Ivoire - ethnology</subject><subject>Coxsackie virus</subject><subject>Creatine Kinase - blood</subject><subject>Emigrants and Immigrants</subject><subject>Ghana - ethnology</subject><subject>Histocompatibility Antigens Class I - immunology</subject><subject>Humans</subject><subject>Immunoglobulin G - immunology</subject><subject>Immunoglobulin M - immunology</subject><subject>Inflammation</subject><subject>Inflammatory diseases</subject><subject>inflammatory myopathies</subject><subject>Italy</subject><subject>Lymphocytes</subject><subject>Lymphocytes T</subject><subject>Macrophages</subject><subject>Macrophages - immunology</subject><subject>Major histocompatibility complex</subject><subject>Male</subject><subject>Migrants</subject><subject>Muscles</subject><subject>Musculoskeletal diseases</subject><subject>Myopathy</subject><subject>Myositis</subject><subject>Myositis - complications</subject><subject>Myositis - immunology</subject><subject>Myositis - pathology</subject><subject>Myositis - physiopathology</subject><subject>myositis‐specific antibodies</subject><subject>Nigeria - ethnology</subject><subject>Polymyositis</subject><subject>Rhabdomyolysis</subject><subject>Rhabdomyolysis - blood</subject><subject>Rhabdomyolysis - etiology</subject><subject>Serology</subject><subject>Signal Recognition Particle - immunology</subject><subject>tRNA</subject><subject>viral myositis</subject><subject>Virus Diseases - complications</subject><subject>Virus Diseases - immunology</subject><subject>Virus Diseases - pathology</subject><subject>Viruses</subject><issn>0148-639X</issn><issn>1097-4598</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp1kEtLxDAUhYMoOj4W_gEJuFGwmndSd6P4AsWFCu5q2t6OkTYdk1aZf2-HqgvB1eUcPj4uB6FdSo4pIeyk6eMxU0qnK2hCSaoTIVOziiaECpMonj5voM0Y3wgh1Ci9jjY4FYJTqibo5Qy8m3lsi74D_OGCrXGzaKPrXMTO42kVXGE9btwsWN_FUzzFRe38UNZHOEJo63Y2ButLPLfd60-DY9eXi220Vtk6ws733UKPlxeP59fJ7f3Vzfn0Nim45GlSgmHWFIU0NreGGjBCg1Q5B50KzSpDlQImpK4oByVKplkpcwmaEJ5LxrfQwaidh_a9h9hljYsF1LX10PYxY8xwSqQidED3_6BvbR_88FzGhDJKKZLygTocqSK0MQaosnlwjQ2LjJJsuXrWLLXL1Qd279vY5w2Uv-TPzANwMgKfrobF_6bs7ulhVH4BwQ-LEA</recordid><startdate>201911</startdate><enddate>201911</enddate><creator>Pancheri, Elia</creator><creator>Lanzafame, Massimiliano</creator><creator>Zamò, Alberto</creator><creator>Angheben, Andrea</creator><creator>Sartoris, Silvia</creator><creator>Zorzi, Antonella</creator><creator>Boaretti, Marzia</creator><creator>Signoretto, Caterina</creator><creator>Guglielmi, Valeria</creator><creator>Ferrari, Sergio</creator><creator>Tonin, Paola</creator><creator>Vattemi, Gaetano</creator><general>John Wiley &amp; 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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.</abstract><cop>Hoboken, USA</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>31443116</pmid><doi>10.1002/mus.26679</doi><tpages>5</tpages></addata></record>
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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
title Benign acute viral myositis in African migrants: A clinical, serological, and pathological study
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