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  Indian J Med Microbiol
 

Figure 3: Myositis in newly diagnosed systemic lupus erythematosus. A 49-year-old male presented with arthralgia, malaise, and plasma viscosity 2.22 (Normal range < 1.74). He developed fever, myalgia, proximal weakness, synovitis, and neutropenia. The CpK rose from normal (a) to 3400 (b). He had positive ds-DNA (59.9 IU/mL) and low complement. (b) Magnetic resonance imaging revealed symmetrical edema within sartorius3a (s), tensor fascia lata (tfl), and rectus femoris (rf); (c) Treatment with pulsed intravenous methylprednisolone and mycophenolate mofetil resulted in resolution of symptoms and normalization of creatine kinase, ds-DNA, and complements

Figure 3: Myositis in newly diagnosed systemic lupus erythematosus. A 49-year-old male presented with arthralgia, malaise, and plasma viscosity 2.22 (Normal range < 1.74). He developed fever, myalgia, proximal weakness, synovitis, and neutropenia. The CpK rose from normal (a) to 3400 (b). He had positive ds-DNA (59.9 IU/mL) and low complement. (b) Magnetic resonance imaging revealed symmetrical edema within sartorius3a (s), tensor fascia lata (tfl), and rectus femoris (rf); (c) Treatment with pulsed intravenous methylprednisolone and mycophenolate mofetil resulted in resolution of symptoms and normalization of creatine kinase, ds-DNA, and complements