Which physical findings are characteristic of chronic corticosteroid-induced myopathy?

Updated: Sep 10, 2019
  • Author: Patrick M Foye, MD; Chief Editor: Stephen Kishner, MD, MHA  more...
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Answer

Chronic (classic) steroid myopathy physical findings are as follows:

  • Proximal muscle weakness is more pronounced than is distal muscle weakness; however, severe relative weakness of the anterior tibialis muscle can be found.

  • Pelvic girdle muscles usually are affected more severely and earlier than are pectoral girdle muscles.

  • Muscle bulk typically is normal, but muscle atrophy can occur.

  • Muscle stretch reflexes typically are normal.

  • Sensory examination should be normal.


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