Case Report: Role of comprehensive rehabilitation In gaining recovery in a rare case of Polymyositis

Abstract

Polymyositis (PM) is an inflammatory myopathy, a group of illnesses characterized by the presence of inflammatory infiltrates in striated muscle. Proximal muscular weakness is the most common clinical symptom of polymyositis. The exact cause of polymyositis is uncertain, however current research points to an autoimmune condition. We report a rare case of 27-year-old female that presented with the complaints of weakness in upper and lower limbs bilaterally for 2 years which was gradually progressive in nature along with difficulty in swallowing. So after physiotherapy assessment the patient was advised to undergo blood investigations which suggested an increased creatinine phosphokinase enzyme level along with reduced vitamin B12. To make a confirmatory diagnosis the patient underwent electromyography which suggested the presence of myopathy. Although polymyositis is more common in people aged 50 to 70 years this case suggests that it can have an earlier presentation. So along with medical management, a structured physiotherapy protocol was planned. Early diagnosis and management is key to recovery and better quality of life.