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Table 1 The clinical manifestations of patients with anti-SRP antibodies and another MSA

From: What should we expect when two myositis-specific antibodies coexist in a patient

 

Age/gender

Muscle weakness

Skin lesion

Raynaud’s phenomenon

Arthritis

Mechanics hands

Tumor

ILD

CK

MSAs

Muscle biopsy

Therapy

Outcome

Patient 1

33/F

 + 

 + 

Normal

SRP, TIF1-γ

Mild

GC

Recover

Patient 2

78/F

 + 

 + 

Normal

SRP, Jo1

NA

GC + CTX

Partial remission

Patient 3

74/M

 + 

 + 

3750

SRP, EJ

NAM

GC + IVIG

Death

REF4 [5]

70/F

 + 

 + 

 + 

NA

 + 

1100

SRP, Jo1

PM

GC + CTX

Mild improvement

REF5 [6]

37/F

 + 

 + 

 + 

21,808

SRP, PL12

NAM

GC + IVIG + CTX

Partial remission

REF6 [7]

61/M

 + 

 + 

Gastric cancer

 + 

5685

SRP, Jo1

DM

Gastrectomy, GC

Death

REF7 [8]

33/F

NA

NA

NA

 + 

NA

NA

 + 

NA

SRP, PL12

NA

NA

NA

REF8 [9]

46/F

 + 

 + 

 + 

3500

SRP, PL12

Mild

GC

Greatly improved

REF9 [10]

19/M

 + 

311

SRP, Mi2

NAM

GC, AZA/MMF

Good response

  1. F, female; M, male; NA, not available; ILD, interstitial lung diseases; CK, creatine kinase; MSAs, myositis-specific autoantibodies; NAM, necrotizing autoimmune myositis; PM, polymyositis; DM, dermatomyositis; GC, glucocorticoids; CTX, cyclophosphamide; AZA, azathioprine; MMF, mycophenolate mofetil; IVIG, intravenous immunoglobulin