• muscle enzyme studies (serum creatine kinase and aldolase)

• biopsies—skin and muscle

• EMG studies—show characteristic pattern

Teatment includes corticosteroids and cytotoxic drugs. Early referral is appropriate.

The vasculitides or vasculitis syndromes are a heterogeneous group of disorders involving inflammation and necrosis of blood vessels, the clinical effects and classification depending on the size of the vessels involved.

Small vessel vasculitis is the common type encountered in practice. Medium vessel vasculitis includes polyarteritis nodosa and large vessel vasculitis includes giant cell arteritis.

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