ICD-11 classes
15 Diseases of the musculoskeletal system or connective...
Nonorgan specific systemic autoimmune disorders
4A41 — Idiopathic inflammatory myopathy
4A41.2 — Inclusion body myopathy
4A41.20 — Inflammatory inclusion body myositis
ICD-11 4A41.20 — Inflammatory inclusion body myositis
Inclusion body miositis (IBM) is the most common idiopathic inflammatory myopathies after age 50. It typically presents with chronic insidious proximal leg and/or distal arm asymmetric muscle weakness leading to recurrent falls and loss of dexterity. Creatine kinase is up to 15 times elevated in IBM and needle electromyography mostly shows a chronic irritative myopathy. Muscle histopathology demonstrates endomysial inflammatory exudates surrounding and invading non-necrotic muscle fibres often times accompanied by rimmed vacuoles and protein deposits. Despite inflammatory muscle pathology, it likely that IBM is has a prominent degenerative component as supported by refractoriness to immunosuppressive therapy.
The diagnosis includes nothing.
It excludes 1 item.
- Myasthenia gravis or certain specified neuromuscular junction disorders (8C60-8C6Z)
It has no clarifying diagnoses.
The diagnosis is coded elsewhere:
- Inclusion body myopathy #3641
- Inclusion body myopathy #7515
- Inclusion body myopathy #10083