Treatment Algorithms for Inflammatory Myopathies in Adults

Purpose of Review Inflammatory myopathies are a heterogeneous group of systemic autoimmune disorders with highly variable clinical presentations. The limited number of clinical trials has hindered the development of strong evidence-based management strategies. Therefore, there is a pressing need for...

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Detalles Bibliográficos
Autores: Selva O'Callaghan, Albert|||0000-0003-2823-9761, Trallero Araguás, Ernesto|||0000-0003-3365-4521, Gil Vila, Albert|||0000-0003-2786-2009, Matas-Garcia, Ana|||0000-0002-9184-8079, Edo-Fernandez, Clara, Milisenda, José César|||0000-0003-0151-7872, Pinal Fernandez, Iago|||0000-0001-6338-9218
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:325985
Acceso en línea:https://ddd.uab.cat/record/325985
https://dx.doi.org/urn:doi:10.1007/s40674-025-00239-5
Access Level:acceso abierto
Palabra clave:Inflammatory myopathy
Myositis
Dermatomyositis
Antisynthetase syndrome
Immune-mediated necrotizing myopathy
Myositis guidelines
Myositis treating algorithm
Myositis clinical practice
Descripción
Sumario:Purpose of Review Inflammatory myopathies are a heterogeneous group of systemic autoimmune disorders with highly variable clinical presentations. The limited number of clinical trials has hindered the development of strong evidence-based management strategies. Therefore, there is a pressing need for consensus-driven treatment guidelines tailored to the various clinical and immunological phenotypes. This review combines existing published guidelines with the authors' clinical experience to provide a comprehensive, pragmatic approach to management. Recent Findings A comparative review of existing treatment guidelines was recently published, revealing significant heterogeneity in therapeutic approaches and recommendations. This observation is consistent with our own experience during a multidisciplinary meeting, primarily involving internal medicine specialists and rheumatologists. Furthermore, recent clinical trials and observational studies investigating novel therapies offer promising prospects that could influence future clinical decision-making. Summary Although establishing a unified therapeutic algorithm remains challenging, this review aims to translate current knowledge into clinical practice by integrating existing guidelines, our own clinical experience, and the most recent evidence published on the topic.