How can complications of polymyositis be prevented?

Updated: Jun 13, 2020
  • Author: Mythili Seetharaman, MD; Chief Editor: Herbert S Diamond, MD  more...
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Answer

The following precautions can aid against complications associated with polymyositis or its treatment:

  • Raynaud phenomenon - Patients with polymyositis should avoid cold exposure if Raynaud phenomenon is a significant problem

  • Esophageal involvement - Patients with esophageal involvement can elevate the head of the bed and avoid eating before bedtime to minimize reflux and risk of aspiration; histamine-2 receptor antagonists, proton pump inhibitors, and/or prokinetic agents may be useful in patients with esophageal reflux and dysmotility.

  • Osteoporosis - Check a baseline bone density scan. Prescribe calcium with vitamin D supplementation and oral bisphosphonates for osteoporosis prophylaxis or other agents for osteoporosis treatment.


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