Bodoki Levente, Vincze Melinda, Hortobágyi Tibor, Griger Zoltán, Csonka Tamás, Dankó Katalin
Ideggyogy Sz. 2014 Sep 30;67(9-10):347-53.
Idiopathic inflammatory myopathies are systemic, autoimmune diseases characterized by proximal symmetrical muscle weakness. We review the myositis-associated and myositis-specific autoantibodies, among them the anti-SRP autoantibody. Among those autoimmune myopathy cases, that are associated with autoantibodies, we can detect anti-SRP autoantibody positive myositis cases. We describe the role of signal recognition particle, its structure and role in protein biosynthesis. We review how necrotizing autoimmune myopathy is identified, and the differences from classical polymyositis. The anti-SRP titer correlates with disease activity. We present some cases to show how the disease appears in childhood and also some rare cases from the literature. Finally we present a case to draw attention to the importance of this disease.
特发性炎性肌病是一种以近端对称性肌无力为特征的全身性自身免疫性疾病。我们回顾了与肌炎相关和肌炎特异性自身抗体,其中包括抗信号识别颗粒(SRP)自身抗体。在那些与自身抗体相关的自身免疫性肌病病例中,我们可以检测到抗SRP自身抗体阳性的肌炎病例。我们描述了信号识别颗粒的作用、其结构以及在蛋白质生物合成中的作用。我们回顾了坏死性自身免疫性肌病是如何被识别的,以及它与经典多发性肌炎的区别。抗SRP滴度与疾病活动度相关。我们列举了一些病例来说明这种疾病在儿童期的表现,以及文献中的一些罕见病例。最后我们展示一个病例以引起对这种疾病重要性的关注。