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Idiopathic inflammatory myopathy with delayed finger opening resembling grip myotonia: A case report
Intern Med. 2023 Apr 7. doi: 10.2169/internalmedicine.1545-22. Online ahead of print.ABSTRACTGrip myotonia can be a clue for the diagnosis of myotonic disorders. However, several clinical conditions cause delayed finger opening mimicking grip myotonia. We herein report a 44-year-old man with idiopathic inflammatory myopathy who presented with delayed finger opening resembling grip myotonia. The delayed finger opening differed from grip myotonia given the absence of the warm-up phenomenon and percussion myotonia, relative sparing of the thumb extension, and pronounced weakness of the extensor digitorum. Focusing on the exte...
Source: Internal Medicine - April 9, 2023 Category: Internal Medicine Authors: Takamichi Kanbayashi Shunsuke Kobayashi Yuki Hatanaka Jun Shimizu Masahiro Sonoo Source Type: research

The Myocardial Accumulation of Aggregated Desmin Protein in a Case of Desminopathy with a de novo DES p.R406W Mutation
Intern Med. 2023 Feb 15. doi: 10.2169/internalmedicine.0992-22. Online ahead of print.ABSTRACTDesminopathy is a cardiac and skeletal myopathy caused by disease-causing variants in the desmin (DES) gene and represents a subgroup of myofibrillar myopathies, where cytoplasmic desmin-postive immunoreactivity is the pathological hallmark. We herein report a 28-year-old Japanese man who was initially diagnosed with sporadic hypertrophic cardiomyopathy with atrioventricular block at 9 years old and developed weakness in the soft palate and extremities. The myocardial tissue dissected during implantation of the ventricular-assiste...
Source: Internal Medicine - February 15, 2023 Category: Internal Medicine Authors: Naoki Takegami Akihiko Mitsutake Tatsuo Mano Yukako Shintani-Domoto Atsushi Unuma Nanaka Yamaguchi-Takegami Hiroyuki Ishiura Kaori Sakuishi Masahiko Ando Haruo Yamauchi Minoru Ono Shinichi Morishita Jun Mitsui Jun Shimizu Shoji Tsuji Tatsushi Toda Source Type: research

Actual Telemedicine Needs of Japanese Patients with Neurological Disorders in the COVID-19 Pandemic
Conclusion We can contribute to the management of the COVID-19 pandemic and the medical economy by promoting telemedicine, especially for young patients with headaches or epilepsy.PMID:36418105 | DOI:10.2169/internalmedicine.9702-22
Source: Internal Medicine - November 23, 2022 Category: Internal Medicine Authors: Ryo Sasaki Taijun Yunoki Yumiko Nakano Yusuke Fukui Mami Takemoto Ryuta Morihara Koji Abe Toru Yamashita Source Type: research

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