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LETTER TO EDITOR
Ahead of print publication  

The muscle rap


1 Department of Clinical Immunology and Rheumatology, St. John's National Academy of Health Sciences, Bengaluru, Karnataka, India
2 Department of Clinical Immunology and Rheumatology, Kalinga Institute of Medical Sciences, KIIT University, Bhubaneshwar, Odisha, India

Correspondence Address:
Sakir Ahmed,
Kalinga Institute of Medical Sciences, KIIT University, KIIT Road, Bhubaneshwar - 751 024, Odisha
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/injr.injr_49_20



How to cite this URL:
Pinto B, Ahmed S. The muscle rap. Indian J Rheumatol [Epub ahead of print] [cited 2020 Aug 7]. Available from: http://www.indianjrheumatol.com/preprintarticle.asp?id=282510

Dear Editor,

Author statement: Inflammatory myositis literally takes the wind out you! The affected person can be a mere shadow of the former self. Recovery is often slow and requires patience and persistence. Nevertheless the best is that, with proper care at the proper time, it may be fully reversed. The thrill that the treating physician feels when she (or he) sees the former bedridden patient walking again can be beyond compare. To lighten up things and bring this message from an apparent patient's perceptive, we have crafted this rhyme. Being ever-optimistic physicians, as we feel all physicians should be, we have attempted to keep things jovial.

I was quite a hunk; the ladies loved to tease

When flexed with all my might, they went weak in the knees

I worked out all the time, no time for fatigue

Man, was I proud of my solid physique!



One day an aberrant T cell scouting for a thrill

Looked me up'n down; but I'm no easy kill

Hey good looking said the wily WBC

Tough luck I told her, I ain't got no MHC



What triggered the change, I'm really not sure

My WBC simply couldn't resist the lure

Was it my genes, a drug, or a virus that did woo?

Myositis hit me like a bolt from the blue



Oh shucks! I was soon loaded with MHC

T cells barged in unapologetically

Oh! Why would you attack your own?

They scoffed at me, we are autoimmune



Soon B cells came out of their unholy league

All those autoantibodies, they did unleash

I am weak and tired, swollen as can be

It's a matter of time before I atrophy



CPK, LDH, raised liver enzymes

Biopsy, EMG are the usual paradigms

Irritable was I as they poked needles into me

Increased insertional activity is what they would see



Pumped with steroids, I feel as good as new

Immunosuppressants come to the rescue

To miss my drugs, no I wouldn't dare

Infections are lurking, I gotta beware



The doc brings a consent form

Research for rare diseases seems to be the norm

New autoantibodies immunoprecipitate every passing day

I hope a breakthrough soon comes their way



With physiotherapy, I regain my glory

I flex again to everyone's envy and tell my story

The inspiring tale is already trending

Who doesn't love a happy ending?

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.






 

 
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