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4/27/2026 8:16:24 AM | Browse: 3 | Download: 15
Publication Name World Journal of Clinical Cases
Manuscript ID 120126
Country United States
Received
2026-02-24 06:59
Peer-Review Started
2026-02-24 07:01
First Decision by Editorial Office Director
2026-03-03 09:23
Return for Revision
2026-03-03 09:23
Revised
2026-03-10 00:08
Publication Fee Transferred
Second Decision by Editor
2026-04-02 02:34
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-04-02 06:50
Articles in Press
2026-04-02 06:50
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-04-20 01:00
Publish the Manuscript Online
2026-04-27 08:16
ISSN 2307-8960 (online)
Open Access This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Medicine, General & Internal
Manuscript Type Case Report
Article Title Refractory rosuvastatin-associated necrotizing autoimmune myopathy: A case report and review of literature
Manuscript Source Invited Manuscript
All Author List Mrudula Thiriveedi, Hersh Patel and Punuru J Reddy
ORCID
Author(s) ORCID Number
Mrudula Thiriveedi http://orcid.org/0009-0008-7780-9963
Funding Agency and Grant Number
Corresponding Author Mrudula Thiriveedi, Chief Physician, MD, Department of Internal Medicine, Decatur Morgan Hospital, 1201 7th Street SE, Decatur, AL 35601, United States. drmrudula.giridhar@gmail.com
Key Words Statin-associated necrotizing autoimmune myopathy; Anti-3-hydroxy-3-methylglutaryl–coenzyme A reductase antibodies; Rosuvastatin; Immune-mediated myopathy; Rhabdomyolysis; Case report
Core Tip Statin-associated necrotizing autoimmune myopathy (NAM) is a rare immune-mediated myopathy defined by progressive weakness, marked creatine kinase elevation, and persistence of disease activity despite statin withdrawal, most often associated with anti-3-hydroxy-3-methylglutaryl–coenzyme A reductase antibodies. Many patients respond to corticosteroids and intravenous immunoglobulin (IVIG), but refractory disease can occur, particularly when diagnosis is delayed or when severe systemic complications develop. We report an elderly woman receiving long-term rosuvastatin who developed persistent rhabdomyolysis with dialysis-dependent renal failure and died despite high-dose corticosteroids, IVIG, and rituximab. This case underscores the need for early antibody testing and prompt escalation of therapy when statin-associated NAM is suspected, to prevent severe outcomes.
Publish Date 2026-04-27 08:16
Citation

Thiriveedi M, Patel H, Reddy PJ. Refractory rosuvastatin-associated necrotizing autoimmune myopathy: A case report and review of literature. World J Clin Cases 2026; 14(14): 120126

URL https://www.wjgnet.com/2307-8960/full/v14/i14/120126.htm
DOI https://dx.doi.org/10.12998/wjcc.v14.i14.120126
Full Article (PDF) WJCC-14-120126-with-cover.pdf
CARE Checklist–2016 120126-CARE-Checklist-2016.pdf
Manuscript File 120126_Auto_Edited_074843.docx
Answering Reviewers 120126-answering-reviewers.pdf
Audio Core Tip 120126-audio.mp3
Conflict-of-Interest Disclosure Form 120126-conflict-of-interest-statement.pdf
Copyright License Agreement 120126-copyright-assignment.pdf
Signed Consent for Treatment Form(s) or Document(s) 120126-informed-consent-statement.pdf
Peer-review Report 120126-peer-reviews.pdf
Scientific Misconduct Check 120126-scientific-misconduct-check.png
Scientific Editor Work List 120126-scientific-editor-work-list.pdf
CrossCheck Report 120126-crosscheck-report.pdf