Isolated Mitochondrial Myopathy Misdiagnosed as Polymyositis
Yong Seon Choi1, Ji Yeong Chae1, Hyung Woo Kim1, Jae Min Lee1, Jung Ho Won1, Sun Hong You1, Hyun-Jeung Yu2, Eun Hye Jeong2*
Affiliation
- 1Department of Internal Medicine, Bundang Jesaeng General Hospital, Seongnam, Korea
- 2Department of Neurology, Bundang Jesaeng General Hospital, Seongnam, Korea
Corresponding Author
Eun Hye Jeong, M.D., Department of Neurology, Bundang Jesaeng General Hospital, 20, Seohyeon- ro180beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do, Korea, E-mail: gracej3@naver.com
Citation
Jeong, E.H. et al. Isolated Mitochondrial Myopathy Misdiagnosed as Polymyositis. (2016) Int J Neuro Brain Dis 3(4): 1- 4.
Copy rights
© 2016 Jeong, E.H. This is an Open access article distributed under the terms of Creative Commons Attribution 4.0 International License.
Keywords
Abstract
Mitochondrial myopathies are caused by dysfunction of the mitochondria and are systemic disorders that present with diverse clinical manifestations. They have been found to be especially prevalent in children. In this report, we present the case of a 55-year-old male patient who developed progressive symmetric proximal muscle weakness in both upper and lower extremities. Although the elevated levels of muscle enzymes and the findings of magnetic resonance imaging of lower extremities were suggestive of polymyositis, we made a final diagnosis of isolated mitochondrial myopathy based on the result of the biopsy of the thigh muscle. In this report, we emphasize the importance of performing a correct differential diagnosis of myopathies, particularly in the cases without evidence of involvement of other organs.