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Defining cancer-risk, and assessing diagnostic usefulness of myositis serology, in dermatomyositis- Part 2 #MMPMID19508476
Madan V; Chinoy H; Griffiths CEM; Cooper RG
Clin Exp Dermatol 2009[Jul]; 34 (5): 561-5 PMID19508476show ga
In the first part of this review we examined the evidence behind the association between idiopathic inflammatory myopathies (IIM) and cancers. In view of the well-recognised association between cancer and myositis (hence the term cancer-associated myositis, or CAM) clinicians responsible for the management of patients with myositis must make important decisions regarding how intensively they undertake searches for malignancy. Clinicians must also decide how often such searches are repeated, and again how intensively, so as to optimise both cancer detection and treatment, and thus patient survival. As the risks of CAM are greatest in dermatomyositis, this is an issue of obvious importance to dermatologists. In this second of the two part review we examine the role of autoantibodies as potential predictors of cancer risk in IIM.