![]() Dysphagia was reported in 5 of the 7 patients at the time of IVMP. At the time of pulse dose IVMP, the mean strength in the weakest muscle group was rated as 3.1 of 5 (range, 2-4 SD, 0.9) and the mean peak CK was 5746 U/L (range, 1602-14,039 SD, 4911). Seven patients received pulse dose IVMP for active myositis. Data collected included patient demographics, diagnosis, immunosuppressive therapies, serial serum creatine kinase (CK) measurements, and serial muscle strength testing. ![]() We conducted a retrospective chart review of patients who were diagnosed with IIM in the rheumatology clinics of the Cook County Health and Hospital Systems. Here, we systematically analyze the therapeutic effect of pulse dose IVMP in patients with IIM in a large municipal safety net medical center and review the literature on pulse IVMP in adult IIM. Pulse dose intravenous methylprednisolone (IVMP) has been used for serious or refractory cases. Typically high-dose daily oral corticosteroids are used as the first-line therapy of IIM. ![]() It was, however, still something like 60 to 15 life, but with the help of Karador, who could bring back a Wurmcoil Engine and then next turn a Craterhoof Behemoth, I managed to attack for devastating 79 or something like that and win the game.Idiopathic inflammatory myopathies (IIM) are a rare group of autoimmune diseases characterized by muscle inflammation. With the air now clear I manage to land Teneb the Harvester with Hall of the Bandit lord, killing Paul with the attack and reanimating my Kokusho. This would have been the win for him if Paul hadn’t had a Maelstrom Pulse on his hand, with which he initially wanted to kill one of my creatures, but the all bystanders and especially me urged him to go for the 60 for 1 trade against the Pegasus tokens. Then Lukas, still at 60 life, casts Storm Herd. I join the fray against Lukas, leaving the Lotleth troll back as blocker, so nobody goes after me. Paul then goes with everything after Lukas who in turn attacks back with his Obzedat. I play Kokusho and have a Sac-Outlet, Paul implores me to leave Stefan in the Game because he is the only out to Lukas, but I don’t care, sac the dragon, reset my life and throw Stefan out. He attacks Lukas, exiling something, but Lukas can chumpblock and in return play Debt to the Deathless for X=4, leaving Stefan and me at 2 life, Paul at something around 15 and putting himself to something like 90. But then Stefan gets Asceticism out, plays Krond and enchants him with Shield of the Oversoul and Battle Mastery. Lukas then plays Obzedat and attacks Paul, who in turn steals a Craterhoof Behemoth from my yard and goes for me. His Krond falls Victim to my Necrotic Sliver, while Lukas’ lifecount is steadily growing. ![]() Paul with my Sek'Kuar vs myself with Karador.Įverybody is off to a decent start, I manage an early Lotleth Troll that quickly becomes 5/4 and everybody beats a little bit on Stefan. Stefan with Krond (his own deck! Aura Voltron) vs. On Stefans birthday party, several people were socially awkward enough to bring their EDH decks and play - besides myself, Lukas and Stefan, we also convinced Stefans half-brother Paul (a Standard player) to join us for a game. This one actually happened some months ago, but since I have no new stories from this week, I’ll post it anyway: ![]()
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