LETTER

Muscle tissue oxygenation as a functional tool in the follow up of dermatomyositis

M C P van Beekvelt¹, R A Wevers¹, B G M van Engelen¹ and W N J M Colier²

¹ Neuromuscular Centre, Institute of Neurology, University Medical Centre Nijmegen, PO Box 9101, 6500 HB Nijmegen, Netherlands
² Department of Physiology, University Medical Centre, Nijmegen

Correspondence to:
Correspondence to:
Dr B G M van Engelen;
b.vanEngelen@czzoneu.azn.nl

Keywords: near-infrared spectroscopy; oxygen consumption measurement; muscle metabolism; rhythmic isometric exercise

Near-infrared spectroscopy (NIRS) is a direct, non-invasive optical method for measuring local oxygenation and haemodynamics in muscle tissue. Although measurement of local oxygenation by NIRS has been used for the diagnosis of metabolic myopathies, the technique has not previously been applied to inflammatory myopathies. Dermatomyositis is a muscle disorder characterised by complement mediated capillary necrosis, resulting in ischaemia and hypoperfusion. We have now employed NIRS to study the effect of corticosteroid treatment on haemodynamics in muscle tissue in dermatomyositis.

The pathological features of dermatomyositis are characterised by a decreased number of capillaries per muscle fibre and necrosis of single muscle fibres or clusters of fibres at the periphery of the fasciculi.¹ Muscle fibre regeneration and an increased number of capillaries have been shown in dermatomyositis after intravenous immune globulin treatment,² but corticosteroids are still considered to be the first line of therapy. In the clinical setting, the effect of treatment . . . [Full text of this article]

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