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We report a 37-year-old woman with a 2month history of proximal muscle weakness and extremely high creatine kinase (21,808U/L) due to necrotizing auto-immune myositis (NAM) in association with anti-synthetase syndrome. Myositis-specific auto-immune antibody panel was positive for anti-Signal recognition particle and anti-PL-12. CT scan of the chest confirmed interstitial lung disease. Prednisolone,...
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