Figure 1 Follow-up periods of 33 anti–3-hydroxy-3-methylglutaryl coenzyme A reductase autoantibody (HMGCR Ab+) myopathy patients in relation to cancer.

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Figure 3 Perimysial and muscle fiber pathology in HMGCR antibody–associated myopathy (A) Perimysial pathology with histiocytic cells and widening (hematoxylin.
Figure 1 Muscle biopsy from a patient with a slowly progressive (24 years) HMGCR antibody–associated myopathy syndrome (A) Hematoxylin & eosin stain, (B)
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Figure 5 Autopsy Mycoplasma DNA analysis
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Figure 1 Follow-up periods of 33 anti–3-hydroxy-3-methylglutaryl coenzyme A reductase autoantibody (HMGCR Ab+) myopathy patients in relation to cancer or statin exposure Follow-up periods of 33 anti–3-hydroxy-3-methylglutaryl coenzyme A reductase autoantibody (HMGCR Ab+) myopathy patients in relation to cancer or statin exposure The upper half shows the follow-up periods of 12 patients with cancer association (statin-exposed, n = 4) and 3 patients with cancer history. In 12 patients with cancer association, 92% (11/12) of the cancers were detected within 1 year of myopathy diagnosis (the remaining one was detected 1.3 years after myopathy diagnosis), and 75% (9/12) died of cancers between 0.2 and 2.7 years after myopathy diagnosis. All 3 patients with cancer history had their cancers treated (closed triangles) and showed no signs of cancer recurrence during follow-up. The lower half shows the follow-up periods of 18 anti-HMGCR Ab+ myopathy patients without cancer (statin-exposed, n = 3). Among them, 10 patients were followed up for more than 3 years after myopathy diagnosis and regarded as cancer-free patients. Closed circles = cancers associated with myopathies detected within 3 years of myopathy diagnosis; closed triangles = past cancers detected and treated more than 3 years before myopathy diagnosis with no signs of recurrence in follow-up periods. Masato Kadoya et al. Neurol Neuroimmunol Neuroinflamm 2016;3:e290 © 2016 American Academy of Neurology