{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T14:06:15Z","timestamp":1756994775566,"version":"3.44.0"},"reference-count":4,"publisher":"SMC Media","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Polymyositis (PM) is usually associated to other autoimmune or connective tissue diseases. The authors report the case of a 59-year-old man with pulmonary fibrosis, who presented with constitutional symptoms and gradually developed proximal muscle weakness, Raynaud phenomenon, and dysphagia. Besides creatine kinase (CK) elevation, he had positive anti-Polymyositis-Scleromyositis (PM-Scl) and anti-Sj\u00f6gren's-syndrome A (SSA) antibodies. Nailfold capillaroscopy showed a scleroderma pattern and muscle biopsy revealed necrosis, regeneration of muscle fibers, and inflammatory infiltrate. Prednisolone was started, with great improvement. Taking into account the overlap features between PM and systemic sclerosis sine scleroderma, it is important to closely monitor the patient for signs of pulmonary and cardiac decompensation.<\/jats:p>","DOI":"10.12890\/2015_000346","type":"journal-article","created":{"date-parts":[[2017,3,30]],"date-time":"2017-03-30T06:42:14Z","timestamp":1490856134000},"source":"Crossref","is-referenced-by-count":2,"title":["Polymyositis and the Spectrum of Scleroderma Disorders"],"prefix":"10.12890","volume":"3","author":[{"given":"Joana","family":"Cochicho","sequence":"additional","affiliation":[{"name":"Coimbra Hospital and Universitary Centre"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo\u00e3o","family":"Madaleno","sequence":"additional","affiliation":[{"name":"Coimbra Hospital and Universitary Centre"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Em\u00edlia","family":"Louro","sequence":"additional","affiliation":[{"name":"Coimbra Hospital and Universitary Centre"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ad\u00e9lia","family":"Sim\u00e3o","sequence":"additional","affiliation":[{"name":"Coimbra Hospital and Universitary Centre"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Armando","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Coimbra Hospital and Universitary Centre"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10397","published-online":{"date-parts":[[2015,12,22]]},"reference":[{"key":"10.12890\/2015_000346_ref1","doi-asserted-by":"crossref","unstructured":"Dalakas MC, Hohlfeld R. Polymyositis and dermatomyositis. <em>Lancet<\/em> 2003;<strong>362<\/strong>:972\u2013982.","DOI":"10.1016\/S0140-6736(03)14368-1"},{"key":"10.12890\/2015_000346_ref2","doi-asserted-by":"crossref","unstructured":"Jury E C, \u2019Cruz D D, Morrow W J W. Autoantibodies and overlap syndromes in autoimmune rheumatic disease.<em> J Clin Pathol<\/em> 2001;<strong>54<\/strong>:340\u2013347.","DOI":"10.1136\/jcp.54.5.340"},{"key":"10.12890\/2015_000346_ref3","doi-asserted-by":"crossref","unstructured":"do Ros\u00e1rio e Souza EJ, Kayser C. Nailfold capillaroscopy: relevance to the practice of rheumatology. <em>Rev Bras Reumatol <\/em>2015;<strong>55<\/strong>:264\u2013271.","DOI":"10.1016\/j.rbre.2014.09.005"},{"key":"10.12890\/2015_000346_ref4","doi-asserted-by":"crossref","unstructured":"Bhansing KJ, Lammens M, Knaapen HKA, van Riel PLCM, van Engelen BGM, Vonk MC. Scleroderma-polymyositis overlap syndrome versus idiopathic polymyositis and systemic sclerosis: a descriptive study on clinical features and myopathology. <em>Arthritis Res Ther.<\/em> 2014;<strong>16<\/strong>:R111 doi:10.1186\/ar4562.","DOI":"10.1186\/ar4562"}],"container-title":["European Journal of Case Reports in Internal Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/346\/506","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/346\/507","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/346\/507","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:29:47Z","timestamp":1756366187000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/view\/346"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12,22]]},"references-count":4,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2016]]}},"URL":"https:\/\/doi.org\/10.12890\/2015_000346","relation":{"has-manifestation":[{"id-type":"other","id":"1-12-346-g506","asserted-by":"subject"},{"id-type":"other","id":"1-12-346-g507","asserted-by":"subject"}],"is-part-of":[{"id-type":"other","id":"1-12","asserted-by":"subject"}]},"ISSN":["2284-2594"],"issn-type":[{"type":"electronic","value":"2284-2594"}],"subject":[],"published":{"date-parts":[[2015,12,22]]},"article-number":"1"}}