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  Indian J Med Microbiol
 

Figure 2: Systemic sclerosis-associated myopathy with concomitant organizing pneumonia in association with anti-PM-Scl antibodies. A 55-year-old male with Raynaud's phenomenon, sclerodactyly, and antibodies to PmScl-75, Pm-Scl 100, and Ro-52 developed acute proximal myopathy with raised CpK. Initial response to 6 intravenous cyclophosphamide infusions (a) was not maintained with mycophenolate mofetil. Rituximab was started (b) alongside the ongoing mycophenolate mofetil. Computed tomography thorax identified patchy organizing pneumonia. The numbers represent Myositis Muscle Dysfunction Scores (range 0–40, with higher numbers indicative of better strength)

Figure 2: Systemic sclerosis-associated myopathy with concomitant organizing pneumonia in association with anti-PM-Scl antibodies. A 55-year-old male with Raynaud's phenomenon, sclerodactyly, and antibodies to PmScl-75, Pm-Scl 100, and Ro-52 developed acute proximal myopathy with raised CpK. Initial response to 6 intravenous cyclophosphamide infusions (a) was not maintained with mycophenolate mofetil. Rituximab was started (b) alongside the ongoing mycophenolate mofetil. Computed tomography thorax identified patchy organizing pneumonia. The numbers represent Myositis Muscle Dysfunction Scores (range 0–40, with higher numbers indicative of better strength)