distinguish poliomyelitis Infobox Disease Name Polymyositis Image Polymyositis HE.jpg Caption Micrograph of polymyositis. Muscle biopsy . H&E stain . DiseasesDB 10343 ICD10 ICD10 M 33 2 m 30 ICD9 ICD9 ... 474 MeshID D017285 Polymyositis PM inflammation of many muscles is a type of chronic inflammation ... Polymyositis and inclusion body myositis . Polymyositis is also associated with interstitial lung diseases. Polymyositis is linked to an increase in the http www.ncbi.nlm.nih.gov pubmed 11197446 ... cancer. Polymyositis tends to become evident in adulthood, presenting with bilateral proximal ... by lymphocytic inflammation mainly cytotoxic T lymphocytes . Polymyositis, like dermatomyositis ... in polymyositis. Another concern is Interstitial lung disease ILD . Causes The etiology of polymyositis ... web url http www.merck.com mmhe sec05 ch068 ch068e.html title Polymyositis and Dermatomyositis Autoimmune ... Lyme disease , toxoplasmosis , and other infectious agents. Polymyositis usually is considered ... like IL 1 and TNF Another important event in the pathogenesis of Polymyositis is the increased ... as polymyositis and dermatomyositis that does not respond to treatment is likely IBM. sIBM comes on over months to years polymyositis comes on over weeks to months. It appears that sIBM and polymyositis share some common features, especially the initial sequence of immune system activation however, polymyositis does not display the subsequent muscle degeneration and protein abnormalities as seen in IBM. As well, polymyositis tends to respond well to treatments IBM does not. IBM and polymyositis ... is characteristic, but not specific to polymyositis. Anti signal recognition particle antibodies anti SRP antibodies are associated with polymyositis, but are not very specific for it. ref name Kao2004 For individuals with polymyositis, the presence of anti SRP antibodies are associated with more prominent ... treatment for polymyositis is corticosteroids. A course of high dose prednisone, tapered according ... more details
Infobox Disease Name PAGENAME Image Caption DiseasesDB ICD10 ICD10 M 33 m 30 ICD9 ICD9 710.3 ICDO OMIM MedlinePlus eMedicineSubj eMedicineTopic MeshID D003882 Dermatopolymyositis is a term used to describe a family of myositis disorders. These include polymyositis and dermatomyositis . ref name pmid4093921 cite journal author Tymms KE, Webb J title Dermatopolymyositis and other connective tissue diseases a review of 105 cases journal J. Rheumatol. volume 12 issue 6 pages 1140 8 year 1985 month December pmid 4093921 doi url ref The term PM DM is sometimes used to describe polymyositis and dermatomyositis. ref name pmid9921402 cite journal author Chraibi S, Ibnabdeljalil H, Habbal R, Bennis A, Tahiri A, Chraibi N title Pericardial tamponade as the first manifestation of dermatopolymyositis journal Ann Med Interne Paris volume 149 issue 7 pages 464 6 year 1998 month November pmid 9921402 doi url ref References reflist disease stub Systemic connective tissue disorders Category Inflammations Category Systemic connective tissue disorders ... more details
Multiple issues one source October 2010 orphan October 2010 Limb girdle syndrome is a term to describe several distinct medical conditions including polymyositis , myopathy associated with endocrine disease , metabolic myopathies , drug induced myopathies and limb girdle dystrophy . Limb girdle syndrome is weakness located and concentrated around the proximal limb muscles. There are many causes, manifestations and treatments. ref name Essential Neurology, 2005 Wilkinson, Iain and Lennox, Graham June 2005 . Essential Neurology 4th ed. . Wiley Blackwell. p. 170. ISBN 978 1 4051 1867 5. ref References reflist DEFAULTSORT Limb Girdle Syndrome Category Systemic connective tissue disorders Neuroscience stub ... more details
Scleromyositis or the PM Scl overlap syndrome is a complex autoimmune disease a disease in which the immune system attacks the body . Patients with scleromyositis have symptoms of both systemic scleroderma and either polymyositis or dermatomyositis , and is therefore considered an overlap syndrome . Although it is a rare disease, it is one of the more common overlap syndromes seen in scleroderma patients, together with MCTD and synthetase syndrome . Autoantibodies often found in these patients are the anti PM Scl anti Exosome complex exosome antibodies. ref cite journal author Jablonska S. and Blaszczyk M. journal Adv Exp Med Biol year 1999 title Scleroderma overlap syndromes volume 455 pages 85 92 pmid 10599327 ref The symptoms that are seen most often are typical symptoms of the individual autoimmune diseases and include Raynaud s phenomenon , arthritis , myositis and scleroderma . ref cite journal author Mahler, M. and Raijmakers R. title Novel aspects of autoantibodies to the PM Scl complex Clinical, genetic and diagnostic insights journal Autoimmunity Reviews year 2007 volume 6 pages 432 7 pmid 17643929 doi 10.1016 j.autrev.2007.01.013 issue 7 ref Treatment of these patients is therefore strongly dependent on the exact symptoms with which a patient reports to a physician and is similar to treatment for the individual autoimmune disease, often involving either immunosuppressive drug immunosuppressive or immunomodulating drugs. ref cite journal author Jablonska S. and Blaszczyk M. title Scleromyositis a scleroderma polymyositis overlap syndrome journal Clinical Rheumatology year 1998 volume 17 pages 465 7 pmid 9890673 doi 10.1007 BF01451281 issue 6 ref References references Category Autoimmune diseases Category Rheumatology disease stub ca Escleromiositis ... more details
Infobox disease Name Overlap syndrome Image Alt Caption DiseasesDB ICD10 ICD10 M 35 1 m 30 ICD9 ICDO OMIM MedlinePlus eMedicineSubj eMedicineTopic MeshID GeneReviewsID GeneReviewsName An overlap syndrome is an autoimmune disease of connective tissue ref DorlandsDict eight 000104573 overlap syndrome ref in which the patient presents with symptoms of two or more diseases. As much as 25 of all patients with connective tissue disease show signs of an overlap syndrome. Examples of overlap syndromes include MCTD and scleromyositis , but the exact diagnosis depends from which diseases the patient shows symptoms. In overlap syndromes, features of systemic lupus erythematosus SLE , systemic sclerosis , polymyositis , dermatomyositis , rheumatoid arthritis RA and Sj gren s syndrome are found often. ref cite journal title Overlap syndromes and mixed connective tissue disease author Maddison PJ. journal Curr Opin Rheumatol. year 1991 volume 3 pages 995 1000 pmid 1772755 doi 10.1097 00002281 199112000 00016 issue 6 ref References reflist Category Autoimmune diseases Category Rheumatology Category Syndromes disease stub Systemic connective tissue disorders pl Zesp nak adania ... more details
Although they vary in particulars, polymyositis , dermatomyositis and inclusion body myositis are idiopathic inflammatory myopathies IIM http www.ninds.nih.gov disorders inflammatory myopathies detail inflammatory myopathies.htm primarily characterized by chronic inflammation of human skeletal muscle tissue ref name Lundberg 2000 Lundberg I. and Y L Chung, 2000. Treatment and Investigations of idiopathic inflammatory myopathies. Rheumatology . 39 7 17. ref that ultimately causes the necrosis of muscle cells. This degeneration leads to muscle tissue wasting, weakness and fatigue among other serious effects. Until recently, exercise has been avoided as a type of therapy, and even forbidden due to the risk of triggering or amplifying inflammation. However, several studies have been conducted to test this assumption and have shown that Aerobics aerobic exercise as well as resistance training can maintain and even improve quality of life for IIM affected individuals without increased inflammatory response . ref name Painelli 2009 Painelli VdS, B Gualano, GG Artioli, AL de Sa Pinto, E Bonfa, AH Lancha Jr., FR Lima, 2009. The possible role of physical exercise on the treatment of idiopathic inflammatory myopathies. Autoimmunity Reviews . 8 355 359. ref Modes of Exercise Therapy Trials Isometric Activity In 1993, isometric exercise training was applied for four weeks resulting in isometric peak power at 60 of maximal voluntary contraction. ref name Hicks 1993 Hicks JE, F Miller, P Plotz ... creatinine phosphokinase increases in a patient with polymyositis. Journal of Rheumatology . 20 1399 ... and TD Beardmore, 1993. Resistive exercise in the rehabilitation of polymyositis dermatomyositis .... Improvement of physical fitness and muscle strength in polymyositis dermatomyositis patients by a training ... H, CH Stenstrom and I Lundberg, 1999. Safety of a home exercise programme in patients with polymyositis ... name Boon 2000 Boon AJ and KA Stolp Smith, 2000. Inclusion Body Myositis Masquerading as Polymyositis ... more details
stages of polymyositis PM . During the course of the illness, the patient s mobility is progressively ... as polymyositis . A course of prednisone is typically completed with no improvement and eventually ... polymyositis has an onset of weeks or months. Other forms of muscular dystrophy e.g. limb girdle ... inflammation, and sIBM was classified along with them. They are dermatomyositis DM and polymyositis .... It appears that sIBM and polymyositis share some common features, especially the initial sequence ... the subsequent muscle degeneration and protein abnormalities as seen in IBM, and as well, polymyositis tends to respond well to treatments, IBM does not. IBM is often confused with misdiagnosed as polymyositis. Polymyositis that does not respond to treatment is likely IBM. Citation needed date August ... as polymyositis, but exhibits a skin rash not seen in polymyositis or sIBM. It may have different root causes unrelated to either Polymyositis or sIBM. References reflist 2 External links http www.ibmmyositis.com ... br.fcgi?book gene&part ibm GeneReview NIH UW entry on Inclusion Body Myopathy 2 Polymyositis and Dermatomyositis ... more details
particle SRP . Anti SRP antibodies are mainly associated with, but are not very specific for, polymyositis . ref name Kao2004 For individuals with polymyositis, the presence of anti SRP antibodies ... more details
distinguish meiosis miosis mitosis myosotis Infobox Disease Name PAGENAME Image Caption DiseasesDB 29473 ICD10 ICD10 M 60 m 60 ICD9 ICD9 729.1 ICDO OMIM 160750 MedlinePlus 001245 eMedicineSubj eMedicineTopic MeshID D009220 Myositis is a general term for inflammation of the muscle s. Many such conditions are considered likely to be caused by autoimmune conditions, rather than directly due to infection although autoimmune conditions can be activated or exacerbated by infections. It is also a documented side effect of the lipid lowering drugs statins and fibrates. Elevation of creatine kinase in blood is indicative of myositis. Types Types of myositis include myositis ossificans idiopathic Inflammatory myopathy inflammatory myopathies dermatomyositis juvenile dermatomyositis polymyositis inclusion body myositis pyomyositis See also myopathy muscle disease myalgia muscle pain Masticatory muscle myositis a disease in dogs External links http www.myositis.org The Myositis Association http www.nlm.nih.gov medlineplus myositis.html NIH http www.myositis.org about myositis faq general.cfm FAQ http www.arthritis.org conditions DiseaseCenter myositis.asp Arthritis.org http www.hopkinsmedicine.org myositis The Johns Hopkins Myositis Center Category Inflammations Category Disorders of muscles disease stub Inflammation Systemic connective tissue disorders Myopathy ar de Myositis it Miosite kk ja no Myositt pt Miosite ru sq Myositis sv Myosit ... more details
File Unverricht.jpg thumb Heinrich Unverricht. Heinrich Unverricht September 18, 1853 April 22, 1912 was a German internist who was a native of Breslau . In 1877 he obtained his doctorate from the University of Breslau , where he was a student of Michael Anton Biermer 1827 1892 . Later he was a professor at Jena 1886 and Dorpat 1888 , where he resigned in 1892 for political reasons, and became director of the city hospital at Magdeburg Sudenburg. Heinrich Unverricht is remembered for his research of epilepsy , especially his work with progressive myoclonic epilepsy PME . In 1891 he described a form of PME that was later called Unverricht Lundborg disease Unverricht s disease . With pathologist Ernst Leberecht Wagner 1829 1888 , the eponymous Wagner Unverricht syndrome is named, which is a muscle disease similar to polymyositis . Unverricht published over fifty medical works, including Studien ber die Lungenentz ndung , his prize winning doctorate thesis on pneumonia . References cite book title The founders of child neurology author Stephen Ashwal year 1990 publisher Norman Publishing isbn 0930405269 url http books.google.com books?id eDvHZWRo9 0C&pg PT312&lpg PT312&dq 22heinrich unverricht 22 1853&source web&ots wlAhJVjmVk&sig BkT7SXFiqvX56wNJx3GGtGUtsiU PPT313,M1 http www.whonamedit.com doctor.cfm 2728.html Heinrich Unverricht at Who Named It Persondata Metadata see Wikipedia Persondata . NAME Unverricht, Heinrich ALTERNATIVE NAMES SHORT DESCRIPTION DATE OF BIRTH September 18, 1853 PLACE OF BIRTH DATE OF DEATH April 22, 1912 PLACE OF DEATH DEFAULTSORT Unverricht, Heinrich Category 1853 births Category 1912 deaths Category German physicians Germany med bio stub pl Heinrich Unverricht ... more details
Merge Juvenile dermatomyositis date May 2010 Childhood dermatomyositis is a connective tissue disease related to polymyositis , characterized by inflammation of the muscles and the skin. It differs from adult dermatomyositis in several ways, and has two common variants. ref name Andrews James, William Berger, Timothy Elston, Dirk 2005 . Andrews Diseases of the Skin Clinical Dermatology . 10th ed. . Saunders. Page 169. ISBN 0 7216 2921 0. ref The more common form is the Brunsting type, in which slow, progressive muscle weakness with calcinosis can be easily treated with corticosteroid s. The second type is known as Banker type, characterized by a vasculitis of the muscles and gastrointestinal tract, rapid onset of severe weakness, steroid unresponsiveness, and high death date. ref name Andrews Pathology Dermatomyositis is confirmed by proximal muscle weakness, an electromyography with a characteristic spike and wave pattern, and abnormal Creatine kinase CPK or aldolase levels. Conclusive diagnosis requires a muscle biopsy that shows perifascicular infiltration of inflammatory cells. ref name Lehman cite author Thomas J. A. Lehman title It s not just growing pains a guide to childhood muscle, bone, and joint pain url http books.google.com books?id YjAId2FyYXQC&pg PA222&dq Childhood dermatomyositis&ei xt YSoKUEIGEkgSSzqCVAQ publisher Oxford University Press US year 2004 isbn 0195157281 pages 222 225 ref Treatment The more common type of dermatomyositis, the unicyclic Brunsting type , responds well to corticosteroid s and typically disappears within six months of treatment. Muscular calcifications can be surgically removed, but doing so may result in poor wound healing calcifications can be reduced with bisphosphonate s. ref name Lehman Children with the rare polycyclic form of dermatomyositis can also be treated with corticosteroids and methotrexate , but respond poorly. Muscle cells that die during the inflammatory phase of dermatomyositis are non renewable, which can ... more details
Anti Scl 70 also called anti topoisomerase I after the type I topoisomerase target ref name pmid2428564 cite journal author Guldner HH, Szostecki C, Vosberg HP, Lakomek HJ, Penner E, Bautz FA title Scl 70 autoantibodies from scleroderma patients recognize a 95 kDa protein identified as DNA topoisomerase I journal Chromosoma volume 94 issue 2 pages 132 8 year 1986 pmid 2428564 doi 10.1007 BF00286991 ref is an anti topoisomerase antibody type of anti nuclear autoantibodies , seen mainly in diffuse systemic scleroderma with a sensitivity and specificity sensitivity of 28 70 , but is also seen in 10 18 of cases of the more limited form of systemic scleroderma called CREST syndrome . ref name Kumar5 9 Table 5 9 in cite book author Mitchell, Richard Sheppard Kumar, Vinay Abbas, Abul K. Fausto, Nelson title Robbins Basic Pathology publisher Saunders location Philadelphia year 2007 pages isbn 1 4160 2973 7 oclc doi 8th edition. ref Anti Scl 70 antibodies are associated with more severe scleroderma disease. ref name pmid2547546 cite journal author de Rooij DJ, Van de Putte LB, Habets WJ, Van Venrooij WJ title Marker antibodies in scleroderma and polymyositis clinical associations journal Clin. Rheumatol. volume 8 issue 2 pages 231 7 year 1989 pmid 2547546 doi 10.1007 BF02030079 ref The etymology of scl 70 consists of an abbreviation of scl eroderma and a 70 kilodalton kD extractable immunoreactive fragment that can be obtained from the otherwise larger 100 105 kD target topoisomerase antigen called the SCL 70 Antigen of the antibodies. ref http www.immunovision.com products product 10 12 2004 10 18 23.html Product Name SCL 70 Antigen at ImmunoVision.com, retrieved April 2011 ref References reflist Category Autoantibodies ... more details
Drugbox Verifiedfields changed verifiedrevid 464390046 type mab image alt mab type mab source u target Interferon alfa Interferon &alpha tradename Drugs.com MedlinePlus pregnancy AU A B1 B2 B3 C D X pregnancy US A B C D X pregnancy category legal AU S2, S3, S4, S5, S6, S7, S8, S9 or Unscheduled legal CA OTC, Rx only, Schedule I, II, III, IV, V, VI, VII, VIII legal UK GSL, P, POM, CD, CD Lic, CD POM, CD No Reg POM, CD Benz POM, CD Anab POM or CD Inv POM legal US OTC Rx only Schedule I, II, III, IV, V legal status routes of administration bioavailability protein bound metabolism elimination half life excretion CAS number Ref cascite changed ?? CAS number 1143503 67 6 ATC prefix none ATC suffix UNII Ref fdacite correct FDA UNII XOY1YA7RMC ChemSpiderID Ref chemspidercite correct chemspider ChemSpiderID NA PubChem DrugBank Ref drugbankcite correct drugbank DrugBank C 6518 H 10008 N 1724 O 2032 S 38 molecular weight 146.25 kDa Sifalimumab is a human monoclonal antibody designed for the treatment of SLE , dermatomyositis , and polymyositis . ref cite web title Statement On A Nonproprietary Name Adopted By The USAN Council Sifalimumab publisher American Medical Association url http www.ama assn.org ama1 pub upload mm 365 sifalimumab.pdf ref Sifalimumab was developed by MedImmune . References references monoclonals for immune system Category Monoclonal antibodies monoclonal antibody stub antineoplastic drug stub ... more details
. Citation needed date February 2009 Several cases of polymyositis and dermatomyositis were reported ..., kidney damage occurs and death in the more severe cases. Confirmed polymyositis with the skin ... in polymyositis or dermatomyositis. All of these histologic derangements suggest immunologic damage ... lung disease . Based on the conclusion of the paper Interstitial lung disease ILD in polymyositis ... follow up of patients with myositis, because ILD is a frequent manifestation in patients with polymyositis ... url http www.merck.com mmhe sec05 ch068 ch068e.html title Polymyositis and Dermatomyositis Autoimmune Disorders of Connective Tissue Merck Manual Home Edition work accessdate ref It is related to polymyositis ... in dermatomyositis. Polymyositis is characterised by diffuse or patchy inflammation of the muscle ... atrophicans List of cutaneous conditions References Reflist 2 External links blank? Polymyositis and Dermatomyositis ... more details
Ernst Leberecht Wagner 12 March 1829 10 February 1888 was a German pathologist who was a native of Dehlitz , a town in the Burgenlandkreis district of Saxony Anhalt . He studied medicine in Leipzig under Carl Reinhold August Wunderlich Karl August Wunderlich 1815 1877 , in Prague under Josef Skoda 1805 1881 and in Vienna under Karl von Rokitansky 1804 1878 . In 1855 he received his habilitation at the University of Leipzig , where in 1862 he became an associate professor. In 1869 Wagner became a full professor of general pathology and pathological anatomy at the University of Leipzig, and in 1871 founded the first institute of pathology at Leipzig. From 1877 until 1888 he was a professor of pathology and special therapy internal medicine at Leipzig. Wagner was considered an excellent teacher, and two of his better known assistants were Adolph Str mpell Adolf von Str mpell 1853 1925 and Paul Flechsig 1847 1929 . His best known written work was a textbook on pathology called Handbuch der allgemeinen Pathologie , which was co authored with Johann Paul Uhle 1827 1861 , and published in seven editions and translated into several languages. Wagner made contributions in his research of uterine cancer and embolism s associated with blood vessels of the lung . With Heinrich Unverricht 1853 1912 , the eponymous Wagner Unverricht syndrome is named, which is a muscle disease related to polymyositis , characterized by chronic muscle inflammation resulting in muscle weakness and skin rash . References http www.whonamedit.com doctor.cfm 2731.html Ernst Leberecht Wagner Who Named It http translate.google.com translate?hl en&sl de&u http www.uniklinikum leipzig.de fakultaetklinikum fak dok oeff kalenderblatt2003.html&sa X&oi translate&resnum 9&ct result&prev search 3Fq 3D 2522Ernst 2BLeberecht 2BWagner 2522 26start 3D10 26hl 3Den 26sa 3DN Hochschulmedizin Leipzig Fakult t Dokumentation translated from German Persondata Metadata see Wikipedia Persondata . NAME Wagner, Ernst Leberecht ... more details
Prose date April 2011 Infobox Disease Name Myalgia Image Myalgia of the biceps brachii.jpg Caption Myalgia of the right biceps brachii . DiseasesDB 22895 ICD10 ICD10 M 79 1 m 70 ICD9 ICD9 729.1 ICDO OMIM MedlinePlus eMedicineSubj eMedicineTopic MeshID Myalgia means muscle pain and is a symptom of many diseases and disorders. The most common causes are the overuse or over stretching of a muscle or group of muscles. Myalgia without a traumatic history is often due to virus viral infection s. Longer term myalgias may be indicative of a metabolic myopathy , some nutritional deficiencies or chronic fatigue syndrome . Causes The most common causes of myalgia are overuse, injury or Strain injury strain . However, myalgia can also be caused by diseases, disorders, medications, or as a response to a vaccination . It is also a sign of acute rejection after heart transplant surgery. The most common causes are Injury or trauma, including sprains, hematoma Overuse using a muscle too much, too often, including protecting a separate injury Chronic tension Muscle pain occurs with Rhabdomyolysis , associated with Viral Compression injury Drug related, esp fibrates and statins , occ ACE inhibitors , cocaine , some retro viral drugs Severe potassium deficiency Fibromyalgia Infections, including Influenza the flu Lyme disease Malaria Dengue Fever Hemorrhagic fever Muscle abscess Polio Rocky Mountain spotted fever Trichinosis roundworm Auto immune disorders, including Systemic lupus erythematosus Polymyalgia rheumatica Polymyositis Dermatomyositis Multiple Sclerosis this is neurologic pain localised to myotome Overuse Overuse of a muscle is using it too much, too soon and or too often. ref name MedlinePlus http www.nlm.nih.gov medlineplus ency article 003178.htm MedlinePlus ref Examples are Repetitive strain injury . Injury The most common causes of myalgia by injury are sprains and strain injury . ref name MedlinePlus Autoimmune Multiple sclerosis neurologic pain interpreted as muscula ... more details
such as polymyositis or dermatomyositis . ref name pmid1355820 cite journal author Kobayashi S, Tanaka M, Tamura N, Hashimoto H, Hirose S title Serum cardiac troponin T in polymyositis dermatomyositis ... with polymyositis or dermatomyositis journal Clin. Chim. Acta volume 306 issue 1 2 pages 27 33 year ... more details
Image Boogie mmm.jpg thumb 200px Acute MMM in an American Pit Bull Terrier Image Masticatory Muscle Myositis dog.jpg thumb 200px Chronic MMM in a Rottweiler Masticatory muscle myositis MMM is an inflammatory disease in dog s affecting the muscle s of mastication chewing . It is also known as atrophic myositis or eosinophilic myositis . MMM is the most common inflammatory myopathy in dogs. ref name Neumann cite journal author Neumann J, Bilzer T title Evidence for MHC I restricted CD8 T cell mediated immunopathology in canine masticatory muscle myositis and polymyositis journal Muscle Nerve volume 33 issue 2 pages 215 24 year 2006 pmid 16270307 doi 10.1002 mus.20456 ref The disease mainly affects large breed dogs. ref name Ettinger 1995 cite book author Ettinger, Stephen J. Feldman, Edward C. title Textbook of Veterinary Internal Medicine edition 4th publisher W.B. Saunders Company year 1995 isbn 0 7216 6795 3 ref German Shepherd Dog s ref cite web last Dewey first C.W. title Disorders of the Peripheral Nervous System work 50 Congresso Nazionale Multisala SCIVAC year 2005 url http www.ivis.org proceedings scivac 2005 Dewey5 en.pdf?LA 1 format PDF accessdate 2007 02 10 ref and Cavalier King Charles Spaniel s may be predisposed. ref cite web last Pitcher first GD title Atypical masticatory muscle myositis in three cavalier King Charles spaniel littermates year 2007 url http cavalierhealth.net masticatory muscle myositis.htm ref There is a similar disease of the eye muscles found in Golden Retriever s. Symptoms of acute MMM include swelling of the jaw muscles, drooling, and pain on opening the mouth. Ophthalmic signs may include nictitating membrane third eyelid protrusion, red eyes, and exophthalmos protruding eyeballs . ref cite web last Gelatt first Kirk title Treatment of Orbital Diseases in Small Animals work Proceedings of the 27th World Congress of the World Small Animal Veterinary Association year 2002 url http www.vin.com proceedings Proceedings.plx?CID WSAVA20 ... more details