Six Years Follow-Up of an 11-Year-Old Girl with Anti-HMGCR Myopathy

J Neuromuscul Dis. 2024;11(4):883-887. doi: 10.3233/JND-240022.

Abstract

Anti-HMGCR myopathy is decribed as an immune-mediated necrotizing myopathy which is characterised by subacute, progressive proximal muscle weakness and elevated creatine kinase (CK) level. In pediatric population, anti-HMGCR myopathy has been reported solely as small case reports, albeit rare. Although treatment consensus has not yet been established, proper treatment with several immunomodulators to include IVIg can show remarkable improvement. We report an 11-year-old-girl diagnosed with anti-HMGCR myopathy with 6 years of follow-up.

Keywords: Anti-HMGCR myopathy; children; muscle weakness; treatment.

Publication types

  • Case Reports

MeSH terms

  • Autoantibodies
  • Child
  • Female
  • Follow-Up Studies
  • Humans
  • Hydroxymethylglutaryl CoA Reductases / immunology
  • Immunoglobulins, Intravenous / therapeutic use
  • Muscular Diseases* / chemically induced
  • Muscular Diseases* / drug therapy
  • Muscular Diseases* / immunology

Substances

  • Hydroxymethylglutaryl CoA Reductases
  • HMGCR protein, human
  • Autoantibodies
  • Immunoglobulins, Intravenous