Granulomatous myopathies are rare. Most cases are associated with sarcoidosis. We report a case of granulomatous myopathy associated with primary biliary cirrhosis, pancytopenia, and thymoma. The literature in regard to granulomatous myopathy and its pathogenesis is reviewed. Intermittent pulsed intravenous methylprednisolone may be useful as maintenance therapy for granulomatous myopathy and other neuromuscular syndromes for patients intolerant of oral corticosteroids. (C) 2000 John Wiley & Sons, Inc.
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Mayo Clin & Mayo Fdn, Div Gastroenterol & Hepatol, Rochester, MN 55905 USAMayo Clin & Mayo Fdn, Div Gastroenterol & Hepatol, Rochester, MN 55905 USA
Talwalkar, JA
Lindor, KD
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Mayo Clin & Mayo Fdn, Div Gastroenterol & Hepatol, Rochester, MN 55905 USAMayo Clin & Mayo Fdn, Div Gastroenterol & Hepatol, Rochester, MN 55905 USA
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Mayo Clin, Div Gastroenterol & Hepatol, Phoenix, AZ USAMayo Clin, Div Gastroenterol & Hepatol, Phoenix, AZ USA
Carey, Elizabeth J.
Ali, Ahmad H.
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Mayo Clin, Div Gastroenterol & Hepatol, Phoenix, AZ USAMayo Clin, Div Gastroenterol & Hepatol, Phoenix, AZ USA
Ali, Ahmad H.
Lindor, Keith D.
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Mayo Clin, Div Gastroenterol & Hepatol, Phoenix, AZ USA
Arizona State Univ, Coll Hlth Solut, Phoenix, AZ 85004 USAMayo Clin, Div Gastroenterol & Hepatol, Phoenix, AZ USA