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NEUROLOGY 1998;51:598-600
© 1998 American Academy of Neurology

Inclusion body myositis in twins

Anthony A. Amato, MD and Robert T. Shebert, MD

From the Department of Medicine/Neurology (Dr. Amato), University of Texas Health Science Center at San Antonio, and the Department of Neurology (Dr. Shebert), University of Miami School of Medicine, FL.

Address correspondence and reprint requests to Dr. Anthony A. Amato, Department of Medicine/Neurology, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78284-7883.

Sporadic inclusion body myositis (s-IBM) is characterized by late onset of slowly progressive weakness that involves the quadriceps and volar forearm muscles early in the course of the disease. There are hereditary forms of inclusion body myopathy (h-IBM) that histologically resemble s-IBM. The lack of inflammation on biopsy and the different ages at onset and patterns of muscle weakness distinguish s-IBM from h-IBM. We report twin brothers with the typical clinical and histologic features of s-IBM. The occurrence of s-IBM in these twins suggests the possibility of a genetic susceptibility to developing s-IBM.


Received May 28, 1997. Accepted in final form March 27, 1998.




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