Question

Younger patient with myalgias, proximal muscle weakness, elevated CK, fatigue, and delayed reflexes:

a) Dermatomyositis; Corticosteroids and immunosuppressants
b) Polymyalgia rheumatica; Low-dose corticosteroids
c) Polymyositis; High-dose corticosteroids
d) Inclusion body myositis; Supportive care and physical therapy

Answer 1

The most likely diagnosis for the younger patient with myalgias, proximal muscle weakness, elevated CK, fatigue, and delayed reflexes is Polymyositis. Treatment typically includes high-dose corticosteroids and immunosuppressants.

Step-by-step explanation:

Based on the symptoms described, the most likely diagnosis for the younger patient with myalgias, proximal muscle weakness, elevated CK (creatine kinase), fatigue, and delayed reflexes is Polymyositis. Polymyositis is an inflammatory muscle disease that causes muscle weakness and tenderness. Treatment for Polymyositis typically includes high-dose corticosteroids to reduce inflammation and immunosuppressants to suppress the immune system's attack on the muscles.