{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T23:11:24Z","timestamp":1776381084960,"version":"3.51.2"},"reference-count":16,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,3,5]]},"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:p>HIV-associated myopathies include HIV-associated polymyositis, inclusion body myositis, diffuse infiltrative lymphocytosis syndrome and sporadic late-onset nemaline myopathy (HIV-NM). HIV-NM typically manifests as a painless, progressive proximal and axial muscle weakness with characteristic histological findings of intracytoplasmic rods, or nemaline bodies, seen in atrophic muscle fibres. HIV-NM presents prior to or shortly after initiation of antiretroviral therapy (ART) and is treated with intravenous immunoglobulin, glucocorticoids or immunosuppression. We present a case of HIV-NM in a patient with well-controlled HIV on decades-long ART with progressive bent spine syndrome, or camptocormia. This case highlights the importance of considering HIV-associated myopathies such as HIV-NM in patients with HIV who present with musculoskeletal complaints.<\/jats:p>","DOI":"10.1136\/bcr-2023-258988","type":"journal-article","created":{"date-parts":[[2024,3,12]],"date-time":"2024-03-12T13:45:33Z","timestamp":1710251133000},"page":"e258988","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["HIV-associated nemaline myopathy manifesting as bent spine syndrome"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0702-7209","authenticated-orcid":false,"given":"Ali Zagham","family":"Nasir","sequence":"first","affiliation":[{"name":"Internal Medicine Residency, Trinity Health Grand Rapids Hospital, Grand Rapids, Michigan, 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