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KMID : 1044320200220010041
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Annals of Clinical Neurophysiology
2020 Volume.22 No. 1 p.41 ~ p.45
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Steroid-resistant sarcoid myositis that was successfully treated with oral methotrexate
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Noh Kyung-Ha
Huh So-Young
Park Young-Eun
Shin Jin-Hong
Kim Dae-Seong
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Abstract
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Acute sarcoid myositis is rarely complicated by sarcoidosis, and steroid therapy is considered the standard treatment. We experienced a patient with acute sarcoid myositis who did not respond to aggressive high-dose corticosteroid therapy, but showed a dramatic improvement after the addition of weekly low-dose oral methotrexate (MTX). This intervention allowed the resumption of normal daily activities after 6 months. Our case strongly suggests that MTX should be considered in patients with acute sarcoid myositis that is resistant to corticosteroid therapy.
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KEYWORD
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Sarcoidosis, Myositis, Corticosteroid, Methotrexate
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