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Inclusion Body Myositis (IBM).

Site presented by Bill Tillier.

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Introduction:

This web page presents information on inclusion body myositis. There are two main types; a spontaneous type that just strikes "out of the blue." It is the common type, known as spontaneous inclusion body myositis, and is usually abbreviated as sIBM. The second type, Hereditary inclusion body myopathy (HIBM) is a very rare group of inherited disorders; passed on from parents to children. How the two types may be related is unknown.

This page is a good starting point for a person interested in sIBM and contains information suitable to take to a family physician. The site provides two levels of information, basic introductions and critical overview articles and also a more complex body of research / medical information, including summaries / reviews of some of the major scientific literature on sIBM.

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Key points:

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For new patients:

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Treatment:

Summary: No treatment is recognized as effective (as of 2017). Research does not support the use of any of the medications available today. Based upon their experience and opinions, doctors may try medications with IBM patients however, this is a clinical judgment where any possible benefits must be weighed against potential side effects.

"Conventional immunotherapies, albeit effective in other forms of myositis, seem to have only a transient or no beneficial effect on disease progression of IBM. So far, no established evidence-based treatment exists and therapy recommendations are based on expert opinion." DOI 10.1007/s11926-013-0329-z

Unfortunately, it would appear that the side effects of all of the current medications far outweigh any benefits seen in sIBM. The best approach today (2013) is to manage the complications that may arise from the disease. Evaluation of swallowing and respiration are important considerations. Prevention of falls is an important consideration.

A cautionary note: there is sometimes a strong tendency for both doctors and patients to "want to do something" -- anything -- to try to slow down or reverse the symptoms of a major debilitating and chronic illness like IBM. For patients, it can be very frightening and frustrating to simply "do nothing." Caution must be used when no significant benefits of treatment can be demonstrated and when treatments all have significant potential side effects.

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Management:

When faced with a progressive disabling disease that has no effective and reliable treatment options, day to day management becomes critically important to avoid complications. Management involves two critical components; awareness and prevention. We need to be aware of the possible consequences of inclusion body myositis and be able to proactively prevent complications. Simple and consistent practices can prevent many of the complications that can threaten one's life.

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Research:

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Other topics:

IBM Facebook pages:

Clinical Trials for sIBM

You can find information on the latest clinical trials on sIBM by going to this website and entering inclusion body myositis on the search line: NIH Clinical Trials:

Yale IBM Registry.

How to Use pdf files:

Note: some of the PDF files on this site are large and take considerable time to open. Pdf files are like a photocopy of an article. To use them you need to install a pdf reader (many computers already have one installed). If you click on a pdf file and you have a reader, it will open automatically. If you need to install a reader, it is easy. You can get a free reader download at:

Miscellaneous:

Donate to Fund sIBM Research:

Research funding for a disease like inclusion body myositis is always a problem due to the rarity of the disorder. As far as I know, the only specific foundation for funding inclusion body myositis research is run by Dr. Stephen Greenberg of Harvard, an sIBM researcher himself.

The Inclusion Body Myositis Foundation (IBMF) is a non-profit research foundation entirely dedicated to finding the cause of and treatment for the muscle disease inclusion body myositis.

Mission Statement:

There are many excellent web sites that present information on various neuromuscular disorders. When I looked at the web, I was struck by how scattered the information was, and the fact that much of the information is very technical. Therefore, the primary intention of this site is to help integrate different sources and to provide background to help the reader cope with complex medical jargon and methods. I am not trying to be comprehensive and I do not want to be redundant and present information that is already covered elsewhere.

Disclaimer:

I am not a medical Doctor and this information is not intended to be read as medical advice nor is it a substitute for medical advice. Please consult your Physician if you have medical concerns. I have done my best to offer a layman's interpretation of this material. Any opinions offered are personal and do not reflect those of my employer. This site is a personal hobby of mine. Thanks.

Contact:

For comments or improvements, please contact Bill at e-mail: bill.tillier@gmail.com

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Page Created: April 06, 2001.

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