Polymyositis Prognosis

Adults who are in their 30s and 50s are known to be more vulnerable to develop this condition called polymyositis (a type of myositis). It is a medical problem that affects the connective tissues of the body, resulting in inflammation of muscle fibers, and weakness. Doctors have noticed that the muscles which are commonly affected are those that are near the trunk and the torso. The condition is incurable, and ascribed to be a chronic one. And it seems to be more common in females.

Symptoms and Causes

The term 'prognosis' is defined as a prediction or a forecast about how a medical condition would progress or result in. The prognosis of polymyositis is related to its symptoms and its underlying causes, as depending on these two factors, the severity of the condition could be speculated. The treatment is also involved, because the way the body reacts to it, also helps in coming up with a more accurate prognosis.

The symptoms of this condition have a gradual nature of occurrence, and that's the reason why it is difficult to determine the stage when the symptoms begin. One characteristic symptom occurs in the form of gradual muscle weakness. Initially, the weakness may not be prominent, however, with time, the affected person may be unable to perform tasks like climbing stairs, carrying heavy objects, etc. This polymyositis symptom may be accompanied by fatigue, tenderness in the muscles and joints, trouble swallowing food, difficulty in speaking, and shortness of breath.

Doctors are still speculating about what can cause polymyositis, as specific causes have not been identified as yet. These speculations include infection by organisms such as bacteria, fungus and virus, heredity factors, and autoimmune disorders.

Diagnosis

The problem with a condition like polymyositis is its diagnosis does not come easy. It is a lengthy process, and it might get a little frustrating for the patient. However, a proper diagnosis is the only key to a timely and appropriate treatment. The process involves getting images of the muscles, test of different muscle functions with the help of electromyography, and biopsy of the muscles. Also, analysis of the blood may be required. Here, the level of muscle enzymes would be determined.

The Prognosis

Remember that prognosis is just a prediction that the doctor does keeping in mind the present situation of the condition. With an early treatment, the prognosis would definitely be better, and there are good chances of improving. Most people have been known to respond well to therapy. There are cases wherein the treatment was delayed and the repercussion was significant disability. Although some people may develop respiratory failures or pneumonia, it is uncommon. Also, death is a rare instance with this illness.

Medical science has not been able to come up with any method which can be used to cure polymyositis. This is why most people have a pessimistic attitude towards the prognosis of this condition. However, as I have mentioned, the earlier the treatment is initiated, the better are the chances in improving muscle strength and function. The treatment consists of the use of drugs such as corticosteroids, which reduce inflammation, and the production of antibodies. Then there are therapies which help in dealing with autoimmune diseases by suppressing the immune system. For improving strength and flexibility, patients are guided by a physical therapist to perform dedicated exercises. As patients may experience difficulty in swallowing and speaking, they can be helped by a registered dietitian and speech pathologist.