Evidence map›Paper›PMID 41416286›Full record

ArticleCureus2025

Necrotizing Autoimmune Myopathy With HMGCR Antibodies: An Uncommon Presentation of Autoimmune Myositis in a Middle-Aged Woman Without Known Malignancy, Connective Tissue Disorder, or Statin Therapy.

Manoj Kumar Mahadevaswamy Susheela, Rekha Kethohalli Shivamurthy, Sathia Narayanan Mannath, Stephen Proctor, Cornelius James Fernandez

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Manoj Kumar Mahadevaswamy SusheelaDiabetes and Endocrinology, United Lincolnshire Teaching Hospitals NHS Trust, Boston, GBR.
Rekha Kethohalli ShivamurthyInternal Medicine, United Lincolnshire Teaching Hospitals NHS Trust, Boston, GBR.
Sathia Narayanan MannathDiabetes and Endocrinology, United Lincolnshire Teaching Hospitals NHS Trust, Boston, GBR.
Stephen ProctorNephrology, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, GBR.
Cornelius James FernandezEndocrinology, United Lincolnshire Teaching Hospitals NHS Trust, Lincoln, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report an uncommon presentation of necrotizing autoimmune myopathy (NAM) associated with anti-HMGCR antibodies in a middle-aged woman who lacked typical risk factors, including statin use, malignancy, or connective tissue disease. The patient presented with muscle weakness, markedly elevated creatine kinase levels, and muscle biopsy findings consistent with necrosis. Diagnosis of NAM was confirmed through the detection of anti-HMGCR antibodies. Despite the initiation of corticosteroid therapy, the condition progressed rapidly, highlighting the aggressive nature of this form of autoimmune myositis. This case underscores the importance of considering NAM in the differential diagnosis of idiopathic myopathy, even in the absence of common predisposing factors, and emphasizes the need for early detection and individualized treatment strategies.

Indexed as

autoimmune necrotizing myositismuscle biopsymusculoskeletal mrimyositis-specific antibodiessystemic steroid therapy

Identifiers

PMID41416286
PMCPMC12709053

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.