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Treatment of idiopathic inflammatory myopathies

Campanilho-Marques, Raquel; Fonseca, João Eurico; Machado, Pedro M; (2025) Treatment of idiopathic inflammatory myopathies. Joint Bone Spine , 92 (6) , Article 105932. 10.1016/j.jbspin.2025.105932. Green open access

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Abstract

Adult idiopathic inflammatory myopathies (IIMs) are rare autoimmune disorders affecting multiple organs, making diagnosis and treatment challenging. Current management relies on immunosuppressants like corticosteroids, methotrexate, azathioprine, mycophenolate mofetil, rituximab, and intravenous immunoglobulin, though treatment responses vary across patients and subtypes. Despite substantial challenges in clinical research, such as patient recruitment, misdiagnoses from overlapping symptoms with other conditions, and inconsistencies in disease classification, the growing number of myositis-specific clinical trials provides optimism. Progress in targeted therapies has the potential to refine treatment approaches, support the development of more standardized, evidence-based guidelines, and ultimately enhance patient outcomes. In this paper, we aim to provide a review of the current therapeutic options based on IIM subtypes.

Type: Article
Title: Treatment of idiopathic inflammatory myopathies
Location: France
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.jbspin.2025.105932
Publisher version: https://doi.org/10.1016/j.jbspin.2025.105932
Language: English
Additional information: Copyright © 2025 The Author(s). Published by Elsevier Masson SAS on behalf of Societe´ Francaise de Rhumatologie. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
Keywords: Dermatomyositis; Immune-mediated necrotizing myopathy; Anti-synthetase syndrome; Inclusion body myositis; Immunosuppressive therapy
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Department of Neuromuscular Diseases
URI: https://discovery.ucl.ac.uk/id/eprint/10211221
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